scholarly journals Eosinophilic Gastroenteritis with Appendix Involvement: Role of Intestinal Ultrasound

2019 ◽  
Vol 9 (6) ◽  
pp. 1037
Author(s):  
Roberto Bertè ◽  
Pietro Soru ◽  
Maurizio Vecchi ◽  
Mirella Fraquelli

Eosinophilic gastroenteritis (EG) is a rare condition characterized by patchy eosinophilic inflammation of one or more layers of the gastrointestinal tract with no secondary causes of eosinophilia. EG is a treatable disease and, generally, patients show a positive response to steroid therapy. Sometimes the disease can present as acute abdomen, and appendicular involvement has seldom been described in the course of EG. In our case report we aimed to emphasize how useful gastrointestinal ultrasound is as a valuable tool for diagnosing and monitoring intestinal involvement during EG, avoiding invasive tests and unnecessary surgery.

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Varun Shetty ◽  
Kayla E. Daniel ◽  
Anil Kesavan

Eosinophilic gastroenteritis is a rare condition characterized by eosinophilic inflammation in the gastrointestinal tract resulting in a variety of gastrointestinal symptoms. There is currently a dearth of information on this topic in the pediatric literature, as very few cases have been reported. In this report, we present a case of eosinophilic gastroenteritis in a 10-week-old patient with initial presenting symptom of hematemesis. To our knowledge, this is the youngest case reported in the literature and is unique in its initial presentation.


2009 ◽  
Vol 2 (4) ◽  
pp. 168-169 ◽  
Author(s):  
Cynthia Maxwell ◽  
Rosheen Grady ◽  
Michael Crump

Chronic lymphocytic leukaemia is a rare condition reported in pregnancy. We review a case of a woman presenting for pregnancy care with active disease and review the literature on this condition. This case raises several important issues with regard to managing complex medical diseases such as leukaemia in pregnant women, including the role of multidisciplinary care.


2018 ◽  
Vol 24 (3) ◽  
pp. 149-150
Author(s):  
Alaa Elnaggar ◽  
Noha A. Azab

Introduction: Aglossia is a rare condition of failure of development of the lateral lingual swellings during embryogenesis and is usually associated with other deformities especially the fingers and limbs. Isolated aglossia is extremely rare. Observation: This is a case report of a 21-year-old patient with isolated aglossia whose floor of the mouth compensated for the tongue's absence in speech, eating and swallowing. Thus the patient did not express any disability and refused reconstructive treatment. Commentaries: Aglossia may be accompanied by many deformities or as part of a syndrome, so other symptoms must be excluded. The floor of the mouth usually adapts to the role of the tongue leading to fulfillment of most of the functions of the tongue. Conclusion: Aglossia is a rare condition, however the adaptation of the surrounding tissues compensated for the absence of the tongue makes the condition tolerable to the patient, this however does not undermine the fact that a multidisciplinary approach is key in managing such a condition.


2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Carina Santos ◽  
Francisco Morgado ◽  
Celestina Blanco ◽  
João Parreira ◽  
João Costa ◽  
...  

Introduction. Eosinophilic gastroenteritis (EGE) is a rare idiopathic disease that can affect one or more organs of the digestive tract. It has an estimated incidence of 1–20 cases per 100,000 patients. Klein et al. classified EGE into 3 subtypes: predominant mucosal, muscular, or subserosal. Clinical Case. We report a case of a 32-year-old woman, who presented with diffuse abdominal pain, nausea, postprandial infarction, diarrhea, and moderate ascites of three-week evolution. The rest of physical examination did not show alterations. The past medical history was unremarkable. Laboratory test results revealed peripheral blood eosinophilia. Abdominal CT scan revealed diffuse and concentric parietal thickening of the distal 2/3 of esophagus, moderate volume ascites, and small bowel wall thickening and distension on the left quadrants. The paracentesis revealed 93.3% of eosinophils. The colon biopsies evidenced an increase in the number of eosinophils. Secondary causes of eosinophilia were excluded. The patient was treated with oral prednisolone 40 mg/day with immediate clinical and analytical improvement. Conclusion. Eosinophilic gastroenteritis is a rare condition with a nonspecific and highly variable clinical presentation, which requires a high level of clinical suspicion. It is a diagnosis of exclusion. Secondary causes of eosinophilia such as intestinal tuberculosis, parasitosis, and malignant neoplasms should be excluded.


2016 ◽  
Vol 29 (1) ◽  
pp. 46
Author(s):  
Jason N. Salamon ◽  
Deborah Sherman

Chronic diarrhea is a common diagnostic entity faced by many primary care physicians. Primary eosinophilic gastroenteritis (PEG), a relatively rare but not uncommon cause of chronic nonbloody diarrhea, presents with nonspecific symptoms, making clinical consideration and diagnosis extremely challenging. In PEG, eosinophils selectively target the gastrointestinal tract, where they degranulate, causing inflammation and irritation. We report the case of a 46-year-old female with recurrent hospitalizations for nausea, vomiting, and diarrhea over a nine-month period. After an extensive workup ruling out secondary causes of eosinophilia, she was diagnosed with PEG. 


2021 ◽  
Vol 14 (2) ◽  
pp. e238532
Author(s):  
Carol Stephanie C Tan-Lim ◽  
Juan Miguel L Murillo ◽  
Marysia Stella T Recto ◽  
Mary Anne R Castor

Eosinophilic gastroenteritis is a rare inflammatory disorder of the gastrointestinal tract. Although commonly associated with allergic diseases, it is also rarely associated with autoimmune disorders. This case report describes a 17-year-old Filipino male with eosinophilic gastroenteritis, manifesting as abdominal pain, vomiting and diarrhoea. He had no allergic diseases, but he was previously diagnosed with chronic bullous disease. His symptoms improved with the initiation of corticosteroids. To date, this is the first case report of a patient with eosinophilic gastroenteritis and chronic bullous disease.


2011 ◽  
Vol 32 (S 02) ◽  
pp. E57-E62 ◽  
Author(s):  
A. Savino ◽  
R. Salvatore ◽  
A. Cafarotti ◽  
C. Cecamore ◽  
S. De Sanctis ◽  
...  

AbstractEosinophilic gastroenteritis (EG) is a rare disease characterized by the infiltration of one or more layers of the digestive tract by eosinophilic leukocytes. The diagnosis is confirmed by histological examination of a characteristic biopsy, but radiological features are useful for diagnostic suspicion. We report the case of an adolescent boy with recurrent epigastric pain, nausea and vomiting, in whom sonographic features and eosinophilia of the peripheral blood suggested the diagnosis of EG. Moreover, we reviewed the radiological features of EG with particular regard to the role of sonography in the diagnosis and follow-up of EG, especially in children. We emphasize the utility of sonography in pediatric patients presenting with gastrointestinal symptoms, since it may provide useful information in a quick, inexpensive and noninvasive way. Ultrasonographic detection of features such as bowel wall thickness, ascites and peritoneal nodules may be largely suggestive of EG and may prevent other invasive exams and abdominal surgery. Ultrasonography can also be easily used in the follow-up of these patients, and may obviate the frequent and potentially dangerous exposure to radiation.


2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Pauline Besonhe ◽  
Pierre-Louis Docquier

Collodion baby is a rare condition in which the baby is born surrounded by membranes called collodion membranes. The evolution of these membranes is towards cracking and peeling. Sometimes, retraction leads to hypoperfusion or ischemia (especially of fingers and toes). In case of acute ischemia, surgery is necessary. We report the case of a newborn in which surgery was necessary to free both fingers and toes from constrictive bands responsible for ischemia. In the absence of surgery, the constrictive bands can lead to amputation (pseudoainhum). The purpose of this case report is to expose the management and the role of an orthopaedic surgeon in the treatment of a collodion baby.


Author(s):  
Timothy E. Speicher ◽  
Jia-wen Cui ◽  
Stephen D. Scharmann

Abstract A 17-year-old female Caucasian soccer player presented with severe right shoulder pain and scapular winging due to brachial plexus neuritis. Over the course of 6 weeks, the patient received Positional Release Therapy once a week coupled with electrical modalities, massage and a daily home exercise program. The form of brachial plexus neuritis the patient was diagnosed with was Parsonage-Turner Syndrome, a rare condition often resistant to traditional physical therapy, typically persists for six months to years, at times requiring surgical intervention. This case report is unique because it is the first to utilize Positional Release Therapy for its treatment and one which resolved more quickly than typically reported.


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