Cargando…

Eosinophilic Gastroenteritis in Which Obstructive Jaundice Developed due to Invagination of the Duodenal Wall

A 63-year-old woman was admitted with epigastric pain, eosinophilia, and elevated hepatobiliary enzyme levels. An upper gastrointestinal endoscopic examination showed that the mucosa of the gastroduodenal wall was edematous. Eosinophilic gastroenteritis (EGE) was diagnosed based on eosinophilic infi...

Descripción completa

Detalles Bibliográficos
Autores principales: Hamamoto, Hitomi, Hashimoto, Shinichi, Taguchi, Hiroki, Kojima, Issei, Kasai, Ai, Tsuneyoshi, Kengo, Kuwazuru, Kosuke, Arima, Shiho, Kanmura, Shuji, Ido, Akio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064693/
https://www.ncbi.nlm.nih.gov/pubmed/29434146
http://dx.doi.org/10.2169/internalmedicine.9312-17
_version_ 1783342734905442304
author Hamamoto, Hitomi
Hashimoto, Shinichi
Taguchi, Hiroki
Kojima, Issei
Kasai, Ai
Tsuneyoshi, Kengo
Kuwazuru, Kosuke
Arima, Shiho
Kanmura, Shuji
Ido, Akio
author_facet Hamamoto, Hitomi
Hashimoto, Shinichi
Taguchi, Hiroki
Kojima, Issei
Kasai, Ai
Tsuneyoshi, Kengo
Kuwazuru, Kosuke
Arima, Shiho
Kanmura, Shuji
Ido, Akio
author_sort Hamamoto, Hitomi
collection PubMed
description A 63-year-old woman was admitted with epigastric pain, eosinophilia, and elevated hepatobiliary enzyme levels. An upper gastrointestinal endoscopic examination showed that the mucosa of the gastroduodenal wall was edematous. Eosinophilic gastroenteritis (EGE) was diagnosed based on eosinophilic infiltration of the gastroduodenal mucosa. Computed tomography showed invagination of the duodenal wall into the common bile duct. The invagination of the duodenal wall improved after conservative therapy, while bile duct drainage was impossible due to the narrowing of the duodenal lumen. EGE was successfully treated without recurrence with steroids and antiallergic therapy. We herein report a rare case of EGE with obstructive jaundice.
format Online
Article
Text
id pubmed-6064693
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-60646932018-07-30 Eosinophilic Gastroenteritis in Which Obstructive Jaundice Developed due to Invagination of the Duodenal Wall Hamamoto, Hitomi Hashimoto, Shinichi Taguchi, Hiroki Kojima, Issei Kasai, Ai Tsuneyoshi, Kengo Kuwazuru, Kosuke Arima, Shiho Kanmura, Shuji Ido, Akio Intern Med Case Report A 63-year-old woman was admitted with epigastric pain, eosinophilia, and elevated hepatobiliary enzyme levels. An upper gastrointestinal endoscopic examination showed that the mucosa of the gastroduodenal wall was edematous. Eosinophilic gastroenteritis (EGE) was diagnosed based on eosinophilic infiltration of the gastroduodenal mucosa. Computed tomography showed invagination of the duodenal wall into the common bile duct. The invagination of the duodenal wall improved after conservative therapy, while bile duct drainage was impossible due to the narrowing of the duodenal lumen. EGE was successfully treated without recurrence with steroids and antiallergic therapy. We herein report a rare case of EGE with obstructive jaundice. The Japanese Society of Internal Medicine 2018-02-09 2018-07-01 /pmc/articles/PMC6064693/ /pubmed/29434146 http://dx.doi.org/10.2169/internalmedicine.9312-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hamamoto, Hitomi
Hashimoto, Shinichi
Taguchi, Hiroki
Kojima, Issei
Kasai, Ai
Tsuneyoshi, Kengo
Kuwazuru, Kosuke
Arima, Shiho
Kanmura, Shuji
Ido, Akio
Eosinophilic Gastroenteritis in Which Obstructive Jaundice Developed due to Invagination of the Duodenal Wall
title Eosinophilic Gastroenteritis in Which Obstructive Jaundice Developed due to Invagination of the Duodenal Wall
title_full Eosinophilic Gastroenteritis in Which Obstructive Jaundice Developed due to Invagination of the Duodenal Wall
title_fullStr Eosinophilic Gastroenteritis in Which Obstructive Jaundice Developed due to Invagination of the Duodenal Wall
title_full_unstemmed Eosinophilic Gastroenteritis in Which Obstructive Jaundice Developed due to Invagination of the Duodenal Wall
title_short Eosinophilic Gastroenteritis in Which Obstructive Jaundice Developed due to Invagination of the Duodenal Wall
title_sort eosinophilic gastroenteritis in which obstructive jaundice developed due to invagination of the duodenal wall
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064693/
https://www.ncbi.nlm.nih.gov/pubmed/29434146
http://dx.doi.org/10.2169/internalmedicine.9312-17
work_keys_str_mv AT hamamotohitomi eosinophilicgastroenteritisinwhichobstructivejaundicedevelopedduetoinvaginationoftheduodenalwall
AT hashimotoshinichi eosinophilicgastroenteritisinwhichobstructivejaundicedevelopedduetoinvaginationoftheduodenalwall
AT taguchihiroki eosinophilicgastroenteritisinwhichobstructivejaundicedevelopedduetoinvaginationoftheduodenalwall
AT kojimaissei eosinophilicgastroenteritisinwhichobstructivejaundicedevelopedduetoinvaginationoftheduodenalwall
AT kasaiai eosinophilicgastroenteritisinwhichobstructivejaundicedevelopedduetoinvaginationoftheduodenalwall
AT tsuneyoshikengo eosinophilicgastroenteritisinwhichobstructivejaundicedevelopedduetoinvaginationoftheduodenalwall
AT kuwazurukosuke eosinophilicgastroenteritisinwhichobstructivejaundicedevelopedduetoinvaginationoftheduodenalwall
AT arimashiho eosinophilicgastroenteritisinwhichobstructivejaundicedevelopedduetoinvaginationoftheduodenalwall
AT kanmurashuji eosinophilicgastroenteritisinwhichobstructivejaundicedevelopedduetoinvaginationoftheduodenalwall
AT idoakio eosinophilicgastroenteritisinwhichobstructivejaundicedevelopedduetoinvaginationoftheduodenalwall