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嗜酸性粒细胞性肠炎在成人中表现为肠套叠。

Eosinophilic enteritis presenting as intussusception in adult.

作者信息

Shin Woon Geon, Park Cheol Hee, Lee Young Seok, Kim Kyoung Oh, Yoo Kyo-Sang, Kim Jong Hyeok, Park Choong Kee

机构信息

Division of Gastroenterology, Department of Internal Medicine, College of Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.

出版信息

Korean J Intern Med. 2007 Mar;22(1):13-7. doi: 10.3904/kjim.2007.22.1.13.

Abstract

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.

摘要

嗜酸性胃肠炎被定义为一种在不存在任何已知嗜酸性粒细胞增多病因的情况下,选择性累及胃肠道并伴有富含嗜酸性粒细胞炎症的疾病。其临床表现因肠壁嗜酸性粒细胞浸润层的部位不同而有所差异。成人嗜酸性肠炎表现为肠套叠的情况此前在文献中未见报道。特别是,由于临床表现多样,成人肠套叠的诊断往往很困难。在我们的病例中,基于超声检查和内镜活检,相当容易地做出了嗜酸性肠炎所致肠套叠的正确诊断。患者接受了口服泼尼松龙治疗,剂量为每日30毫克,共7天,然后在2个月内逐渐减量;我们未进行手术。出院后他已无症状约1年,且未复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/530b/2687602/c24f6eb271d7/kjim-22-13-g001.jpg

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