嗜酸性粒细胞性胃炎,一种罕见的胃炎变种,由于嗜酸性粒细胞浸润而出现胃壁炎症。该病例报告描述了一名12岁男孩的嗜酸性粒细胞性胃炎的复杂表现,强调管理中遇到的挑战。一名12岁男性出现与胃炎一致的症状,包括腹痛,恶心,和呕吐。尽管进行了广泛的医学检查以确定潜在的病因(寄生虫感染,自身免疫性疾病),诊断为嗜酸性粒细胞性胃炎。不幸的是,尽管积极的医疗管理,患者仍表现出持续的症状。该病例进一步并发幽门狭窄,胃出口变窄。腹腔镜干预,微创手术方法,最初尝试,但由于患者的具体情况而被认为具有挑战性。代谢异常的存在进一步增加了复杂性。替代方法,如内窥镜扩张术,由于狭窄的严重程度以及与剖腹手术相比对微创解决方案的渴望,因此被认为不合适。这个案例说明了与管理罕见的胃肠道疾病相关的挑战,如嗜酸性粒细胞性胃炎,特别是儿科患者。报告强调了多学科方法的重要性,涉及胃肠病学家之间的合作,外科医生,根据具体的并发症,可能还有其他专家,实现最优结果。这个案例突出了管理这个病人的复杂性,尤其是伴有幽门狭窄等并发症时。它强调了多学科团队在导航具有挑战性的演示文稿和探索可行的微创手术选择方面的关键作用。
Eosinophilic gastritis, a rare variant of gastritis, presents with inflammation of the stomach lining due to eosinophil infiltration. This case report describes a complex presentation of eosinophilic gastritis in a 12-year-old boy, highlighting the challenges encountered in management. A 12-year-old male presented with symptoms consistent with gastritis, including abdominal pain, nausea, and vomiting. Despite extensive medical workup to identify potential etiologies (parasitic infections, autoimmune conditions), the diagnosis of eosinophilic gastritis was established. Unfortunately, the patient exhibited persistent symptoms despite aggressive medical management. The case was further complicated by pyloric stenosis, a narrowing of the stomach outlet. Laparoscopic intervention, a minimally invasive surgical approach, was initially attempted but deemed challenging due to the patient\'s specific condition. The presence of metabolic abnormalities added further complexity. Alternative approaches, such as endoscopic dilatation, were considered but ultimately deemed unsuitable due to the severity of the stenosis and the desire for a minimally invasive solution compared to laparotomy. This case exemplifies the challenges associated with managing rare gastrointestinal conditions like eosinophilic gastritis, particularly in pediatric patients. The report emphasizes the importance of a multidisciplinary approach, involving collaboration between gastroenterologists, surgeons, and potentially other specialists depending on the specific complications, to achieve optimal outcomes. This case highlights the complexities in managing this patient, especially when accompanied by complications like pyloric stenosis. It underscores the crucial role of a multidisciplinary team in navigating challenging presentations and exploring minimally invasive surgical options when feasible.