scholarly journals Perforated Duodenal Ulcer in a Pediatric Patient with Eosinophilic Gastroenteritis

1997 ◽  
Vol 11 (3) ◽  
pp. 208-212 ◽  
Author(s):  
Colette Deslandres ◽  
Pierre Russo ◽  
Peter Gould ◽  
Pierre Hardy

An 11-year-old boy with eosinophilic gastroenteritis treated by an elimination diet alone presented with a perforated gastroduodenal ulcer subsequent to blunt trauma to the abdomen. Peripheral eosinophilia, chronic iron deficiency, chronic hypoalbuminemia and severe failure to thrive had been present since age 2 years. Immunological work-up revealed food allergies, documented by skin tests. A review of the literature since 1966 revealed only six other cases of perforation of the gastrointestinal tract, one of whom was also a child.

2019 ◽  
Vol 66 (1.2) ◽  
pp. 201-204 ◽  
Author(s):  
Ayumi Sasaki ◽  
Mayumi Sugimoto ◽  
Narumi Tokaji ◽  
Makoto Irahara ◽  
Koichi Okamoto ◽  
...  

Author(s):  
Paolo Biagi ◽  
Luigi Abate ◽  
Carmine Mellone ◽  
Stefania Salvadori ◽  
Andrea Peccetti ◽  
...  

BackgroundEosinophilic gastroenteritis (EoG) is a rare disease of unknown etiology characterized by patchy or diffuse eosinophilic infiltration of the gastrointestinal tract wall. As clinical presentation and endoscopic/ radiological findings are nonspecific, diagnosis may only be ascertained by histologic findings.Clinical case This article presents a case of EoG with associated colonic involvement but without peripheral eosinophilia. Although no allergy could be demonstrated, the clinical symptoms and histologic pattern of diffuse eosinophilic mucosal infiltration disappeared after steroid therapy, as discovered by a careful endoscopic follow-up.Discussion Current concepts of this complex disorder and a review of the literature are presented.


2003 ◽  
Vol 44 (4) ◽  
pp. 444-446
Author(s):  
R. Dullerud ◽  
A. Server ◽  
J. Berg-Johnsen

We report on 2 patients in whom a cystic dilation of the conus medullaris was incidentally found at MR imaging carried out in the work-up for sciatica. The cysts were well circumscribed and had signal intensity identical to the CSF on both T1- and T2-weighted images. There was no evidence of contrast enhancement. None of the patients had specific symptoms related to the spinal cord. At surgery, no evidence of malignancy was seen in any of the patients. A benign cystic dilation, also called dilated ventriculus terminalis, occasionally can be seen in the conus medullaris as an incidental finding at thoracolumbar MR imaging. Unless the expansion per se indicates cyst drainage, these patients may be monitored by clinical and MR follow-up, avoiding surgery in a substantial number of cases.


2021 ◽  
Vol 14 (1) ◽  
pp. e238802
Author(s):  
Fritz Ruprecht Murray ◽  
Bernhard Morell ◽  
Luc Biedermann ◽  
Philipp Schreiner

We report the case of a 63-year-old female patient with liver cirrhosis who presented with symptoms of severe hypoalbuminaemia and diarrhoea. After ruling out other causes of hypoalbuminaemia and confirmation of an elevated faecal α-1 antitrypsin clearance, the diagnosis of protein-losing enteropathy (PLE) could be established. Since PLE is a syndrome caused by various diseases, classified into erosive and non-erosive gastrointestinal diseases or lymphatic obstruction, an extensive work-up was necessary, establishing the final diagnosis of Crohn’s disease.


2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
C Nuño Iglesias ◽  
M R Fresnedo Pérez ◽  
R A Alonso Blanco ◽  
M Soto Dopazo ◽  
E Pérez Prudencio ◽  
...  

Abstract INTRODUCTION Perforated gastroduodenal ulcer represents a common surgical emergency and is associated with a morbimortality close to 40-50%. HP infection, tobacco and alcohol and some socioeconomic aspects represent the most commonly described risk factors. MATERIAL AND METHODS A descriptive and retrospective study was performed between 2018-2020. A total of 40 patients with a history of gastroduodenal perforation were selected. Data corresponding to: sex, age, ulcer location, treatment, tobacco and alcohol consumption, HP infection (presence or not of eradicating treatment) and other potential risk factors were collected and analysed. The aim of the study is to assess how new lifestyle changes, the evolution and improvement in the management of PH infection and the general decrease in smoking have modified the classic profile of patients with gastroduodenal perforations. RESULTS Gastroduodenal perforations predominated in the fifth/sixth decade of life (mean age 59 years). Although a predominance in men is described in the literature, in our sample no significant sex differences were found (1:1 ratio). The most frequent location was duodenal and the reference surgical treatment was primary suture + epipoplasty. Only one third of the patients had a known history of peptic ulcer. CONCLUSIONS Gastroduodenal perforations are a major problem for the on-call surgeon. It is essential to know the current risk factors and their potential relationship with morbimortality and postoperative evolution in order to guarantee the optimal management of these patients.


2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Susanna Esposito ◽  
Chiara Isidori ◽  
Alessandra Pacitto ◽  
Cristina Salvatori ◽  
Laura Sensi ◽  
...  

2012 ◽  
Vol 17 (5) ◽  
pp. 47-50
Author(s):  
A. M Bronshtein ◽  
N. A Malyshev ◽  
S. N Zharov

A case of acute schistosomiasis with febrile, high peripheral eosinophilia and haematuria is presented as a 28-years-old male tourist traveled to upper Nile in Kenia and Uganda. The patient was successfully treated with praziquantel. Although acute urinary schistosomiasis have been rare in Russian travelers this should not be discounted in patients with febrile, high peripheral eosinophilia and haematuria returning from tropical countries. Some behavior habits regarding acquiring of infection are discussed.


Author(s):  
Archana K. Reddy ◽  
Melony Chakrabarty ◽  
Ying Liu ◽  
Stuart H. Cohen ◽  
Archana H. Maniar

Clonorchis sinensis, a trematode prevalent in East Asia, causes hepatobiliary infection. Exposure typically occurs through ingestion of raw or undercooked fish containing the encysted larval form of the parasite. Extrahepatobiliary disease has not commonly been described. In this case report, we describe an unusual case of C. sinensis infection associated with eosinophilic pneumonia. A middle-aged man from China presented with subacute cough and was found to have a bilateral diffuse eosinophilic pneumonia with associated peripheral eosinophilia. Stool microscopy revealed C. sinensis eggs, and the patient improved after treatment with prednisone and praziquantel. Pulmonary clonorchiasis should be considered in patients with eosinophilic pneumonia from areas highly endemic for this pathogen.


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