Abstract:
Eosinophilic gastritis is a rare type of eosinophilic gastrointestinal diseases. Patients with eosinophilic gastritis usually present with symptoms such as nausea, emesis, abdominal pain, and weight loss. In severe cases, patients can suffer rare complications such as gastric outlet obstruction and spontaneous perforation. Here, we present the case of a young adult male who presented with acute onset abdominal pain for 1 day. The patient was found to have significant mural thickening of gastric antrum with pneumoperitoneum on abdominal CT scan, consistent with a perforated gastric ulcer. The patient underwent exploratory laparotomy and required modified graham patch repair. The diagnosis of eosinophilic gastritis was made based on the pathology review of intraoperative endoscopic biopsy specimens.
摘要:
嗜酸性粒细胞性胃炎是一种罕见的嗜酸性粒细胞性胃肠道疾病。嗜酸性粒细胞性胃炎患者通常表现为恶心等症状,呕吐,腹痛,和减肥。在严重的情况下,患者可能会出现罕见的并发症,如胃出口梗阻和自发性穿孔。这里,我们介绍了一个年轻的成年男性,他出现急性腹痛1天。患者腹部CT扫描发现胃窦壁明显增厚伴气腹,与胃溃疡穿孔一致。患者接受了剖腹探查术,需要改良的格雷厄姆补片修复术。依据术中内镜活检标本的病理检讨作出嗜酸性粒细胞性胃炎的诊断。