Recurrent acute pancreatitis due to eosinophilic gastroenteritis. Case report and literature review

Eosinophilic gastroenteritis is characterized by eosinophilic infiltration of any gastrointestinal segment from the esophagus to the rectum, most commonly, the stomach and the duodenum. Clinical manifestations range from non-specific gastrointestinal complaints to more specific symptoms such as prot...

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Bibliographic Details
Published inJournal of the Pancreas Vol. 7; no. 2; pp. 211 - 217
Main Authors Lyngbaek, Stig, Adamsen, Sven, Aru, Antonio, Bergenfeldt, Magnus
Format Journal Article
LanguageEnglish
Published Italy 09.03.2006
Subjects
Acute Disease
Adult
Diverticulitis - etiology
Eosinophilia - diagnosis
Eosinophilia - surgery
Female
Gastroenteritis - diagnosis
Gastroenteritis - surgery
Humans
Pancreatitis - etiology
Recurrence
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Summary:Eosinophilic gastroenteritis is characterized by eosinophilic infiltration of any gastrointestinal segment from the esophagus to the rectum, most commonly, the stomach and the duodenum. Clinical manifestations range from non-specific gastrointestinal complaints to more specific symptoms such as protein-losing enteropathy, malabsorption, luminal obstruction and eosinophilic ascites. We report the case of a 35-year-old woman with recurrent gastric outlet obstruction due to eosinophilic infiltration of the stomach and the duodenum. There was a history of two episodes of acute pancreatitis as well as eosinophilia of bone marrow and ascites. Although unusual, eosinophilic gastroenteritis may be complicated by symptomatic acute pancreatitis. Seven previous cases have been reported in the literature, and a comparison was made. The pancreatitis is probably due to duct obstruction, but some cases of eosinophilic gastroenteritis have pancreatic tissue eosinophilia. Most cases respond to medical treatment, and surgery is usually unnecessary.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
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ISSN:1590-8577