1.Eosinophilic Enteritis Presenting as Intussusception in Adult.
Woon Geon SHIN ; Cheol Hee PARK ; Young Seok LEE ; Kyoung Oh KIM ; Kyo Sang YOO ; Jong Hyeok KIM ; Choong Kee PARK
The Korean Journal of Internal Medicine 2007;22(1):13-17
Eosinophilic gastroenteritis is defined as a disorder that selectively affects the gastrointestinal tract with eosinophil-rich inflammation in the absence of any known causes for eosinophilia. The clinical manifestations vary according to the site of the eosinophilic infiltrated layer of the bowel wall. Eosinophilic enteritis presenting as intussusception in adult has not been previously reported in the literature. Especially, making the diagnosis of intussusception in adults is often difficult due to the variable clinical findings. In our case, the correct diagnosis of intussusception due to eosinophilic enteritis was arrived at rather easily based on the ultrasonography and endoscopic biopsy. The patient was treated with oral prednisolone at 30 mg/day for 7 days, and then the drug was tapered off for 2 months; we didn't perform surgery. He has been asymptomatic for about 1 year after discharge without disease recurrence.
Middle Aged
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Male
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Intussusception/*diagnosis/pathology
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Humans
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Eosinophilia/complications/*diagnosis/pathology
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Enteritis/complications/*diagnosis/pathology
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Diagnosis, Differential
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Age Factors
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Adult
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Adolescent
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Abdominal Pain
2.Panenteritis as an Initial Presentation of Systemic Lupus Erythematosus.
Han Ah LEE ; Hye Gi SHIM ; Young Ho SEO ; Sung Jae CHOI ; Beom Jae LEE ; Young Ho LEE ; Jong Dae JI ; Jae Hoon KIM ; Gwan Gyu SONG
The Korean Journal of Gastroenterology 2016;67(2):107-111
Lupus enteritis is a rare, severe complication of systemic lupus erythematosus (SLE), needing prompt diagnosis and proper management. However, SLE rarely presents as lupus enteritis at the time of initial diagnosis. Thus, delayed diagnosis and misdiagnosis are common. We report a case of a 25-year-old woman with lupus panenteritis. The patient had multiple hospitalizations for abdominal pain, nausea, and diarrhea, initially without any other symptoms suggestive of SLE, but was later observed to have malar rash and oral ulcers. Laboratory investigations were compatible with SLE, including positive antinuclear antibody (1:320) with speckled pattern. CT revealed diffuse hypodense submucosal thickening of the stomach, the entire small bowel, colon, appendix, and rectum. Treatment with high-dose corticosteroids followed by maintenance therapy with mycophenolate mofetil, hydroxychloroquine, and azathioprine resulted in clinical improvement. Diagnosis of lupus enteritis requires a high index of suspicion given the low incidence and nonspecific clinical findings.
Abdominal Pain/complications
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Adrenal Cortex Hormones/therapeutic use
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Adult
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Brain/diagnostic imaging
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Diagnosis, Differential
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Diarrhea/complications
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Endoscopy, Gastrointestinal
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Enteritis/pathology
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Female
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Humans
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Lupus Erythematosus, Systemic/complications/*diagnosis/drug therapy
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Magnetic Resonance Imaging
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Nausea/complications
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Tomography, X-Ray Computed
3.Eosinophilic gastroenteritis presenting with duodenal obstruction and ascites.
Kian Chai LIM ; Hsien Khai TAN ; Andrea RAJNAKOVA ; Sudhakar Kundapur VENKATESH
Annals of the Academy of Medicine, Singapore 2011;40(8):379-381
Adult
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Ascites
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diagnosis
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etiology
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Biopsy
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Diagnosis, Differential
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Duodenal Obstruction
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diagnosis
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etiology
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Endoscopy, Gastrointestinal
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Enteritis
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complications
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drug therapy
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Eosinophilia
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complications
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drug therapy
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Gastritis
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complications
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drug therapy
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Humans
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Intestinal Mucosa
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pathology
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Male
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Tomography, X-Ray Computed
4.Acute Extensive Ischemic Enteritis in a Young Man Diagnosed with Wireless Capsule Endoscopy: A Case Report.
Woo Seong JEONG ; Hyun Joo SONG ; Soo Young NA ; Sun Jin BOO ; Heung Up KIM ; Jinseok KIM ; Guk Myung CHOI
The Korean Journal of Gastroenterology 2013;61(3):160-165
Ischemic enteritis is caused by either the interruption or significant reduction of arterial inflow to the small intestine. Risk factors are old age, diabetes mellitus and cardiovascular disease. It is very rare in young patients. We experienced a 21-year-old man with recurrent acute ischemic enteritis who was diagnosed with capsule endoscopy. He had previously taken medications for pulmonary hypertension and obstruction of both carotid arteries, and about 20 months earlier, he had been admitted due to hematochezia. Two sessions of angiography did not reveal the cause of hematochezia. At that time, capsule endoscopy showed mucosal edema and erythema in the terminal ileum, suggesting healed ischemic enteritis. The patient was admitted again due to hematochezia. Abdominal computed tomography showed focal celiac trunk stenosis and diffuse wall thickening of the small intestine, suggesting ischemic enteritis. Capsule endoscopy showed multiple active ulcers and severe hemorrhage with exudate, extending from the proximal jejunum to the terminal ileum. Using capsule endoscopy, the patient was diagnosed with acute extensive ischemic enteritis. Because endoscopic images of ischemic enteritis have rarely been reported, we report a case of a 21-year-old man who was diagnosed acute extensive ischemic enteritis with capsule endoscopy.
Angiography
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Capsule Endoscopy
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Enteritis/complications/*diagnosis/radiography
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Gastrointestinal Hemorrhage/etiology
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Humans
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Intestine, Small/pathology
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Male
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Tomography, X-Ray Computed
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Young Adult