Tran D, Salloum L, Tshibaka C, Moser R
Department of Surgery, St. Francis Medical Center, Trenton, New Jersey, USA.
Am Surg. 2000 Oct;66(10):990-2.
Eosinophilic gastroenteritis is a rare entity that can be treated successfully with glucocorticoid therapy if the appropriate diagnosis is made. However, it may present with symptomatology mimicking acute surgical conditions. We present the case of a 26-year-old man who presented with diffuse epigastric pain, nausea, vomiting, and diarrhea. Extensive workup including upper endoscopy and imaging study revealed gastritis with ulcer and ascites. The patient developed right lower quadrant pain with localized peritonitis and leukocytosis. He underwent appendectomy and small bowel biopsy. Pathology revealed eosinophilic cellular infiltrate of both the appendiceal and small intestinal wall. The unique features of this condition are reviewed and surgical approaches are discussed.
嗜酸性胃肠炎是一种罕见的疾病，如果能做出恰当诊断，使用糖皮质激素治疗可取得成功。然而，它可能表现出类似急性外科疾病的症状。我们报告一例26岁男性患者，其表现为弥漫性上腹部疼痛、恶心、呕吐和腹泻。包括上消化道内镜检查和影像学检查在内的全面检查显示有胃炎伴溃疡和腹水。患者出现右下腹疼痛伴局限性腹膜炎和白细胞增多。他接受了阑尾切除术和小肠活检。病理显示阑尾壁和小肠壁均有嗜酸性细胞浸润。本文回顾了该疾病的独特特征并讨论了手术方法。
