Pan Fei Yang, Smale Matthew, Rennie Michael, Langan Rinky, Rogge Claudia
Department of Gastroenterology, Wollongong Hospital, Wollongong, NSW, Australia.
ACG Case Rep J. 2024 Mar 2;11(3):e01292. doi: 10.14309/crj.0000000000001292. eCollection 2024 Mar.
Eosinophilic gastritis is a gastrointestinal disorder characterized by eosinophilic infiltration in the gastric wall. We present a rare case of critical pyloric stenosis secondary to eosinophilic gastritis in a 16-year-old adolescent girl who presented with nausea, vomiting, early satiety, and abdominal pain. Abdominal computed tomography and subsequent esophagogastroduodenoscopy confirmed the anatomical diagnosis, but histological confirmation of the eosinophilic etiology was challenging. After an unsuccessful trial of high-dose systemic corticosteroids, a laparoscopic gastrojejunostomy was performed and long-term immunosuppression with mycophenolate mofetil was commenced.
嗜酸性胃炎是一种以胃壁嗜酸性粒细胞浸润为特征的胃肠道疾病。我们报告一例罕见病例，一名16岁青春期女孩因嗜酸性胃炎继发严重幽门狭窄，表现为恶心、呕吐、早饱及腹痛。腹部计算机断层扫描及随后的食管胃十二指肠镜检查证实了解剖学诊断，但嗜酸性病因的组织学确诊具有挑战性。在大剂量全身性皮质类固醇治疗试验失败后，进行了腹腔镜胃空肠吻合术，并开始使用霉酚酸酯进行长期免疫抑制治疗。
