Miyamoto T, Shibata T, Matsuura S, Kagesawa M, Ishizawa Y, Tamiya K
Department of Internal Medicine, Municipal Sakata Hospital.
Intern Med. 1996 Oct;35(10):779-82. doi: 10.2169/internalmedicine.35.779.
We report a case of eosinophilic gastroenteritis, which has features of the predominant subserosal type presented as an ileus and ascites. A 48-year-old Japanese woman was admitted to our hospital because of epigastralgia, lower abdominal pain and vomiting. She had a past history of allergic disorders. The computed tomographic scan revealed ascites, and marked wall thickening and dilatation of the intestine. This patient showed eosinophilic ascites without marked peripheral eosinophilia. Histologic examination demonstrated eosinophilic infiltrates did not predominate in the gastrointestinal tract. Conservative treatment of intravenous infusion of antibiotics and Ringer's solution was effective in this case.
我们报告一例嗜酸性粒细胞性胃肠炎，其特征为主要为浆膜下型，表现为肠梗阻和腹水。一名48岁的日本女性因上腹部疼痛、下腹部疼痛和呕吐入院。她有过敏疾病史。计算机断层扫描显示有腹水，以及肠道壁明显增厚和扩张。该患者出现嗜酸性腹水，但外周嗜酸性粒细胞无明显增多。组织学检查显示嗜酸性粒细胞浸润在胃肠道中并不占主导。在该病例中，静脉输注抗生素和林格氏液的保守治疗有效。
