Solitary Duodenal Ulcer Causing Biliary Obstruction Requiring Rendezvous Procedure in a Pediatric Patient With Eosinophilic Gastroenteritis.
| Autor: | Peck J; Anesthesiology, Mount Sinai Medical Center, Miami Beach, USA., Kimsey KM; Gastroenterology, Johns Hopkins All Children's Hospital, St. Petersburg, USA., Harris E; Vascular and Interventional Radiology, Center for Vien Restoration, Glastonbury, USA., Monforte H; Pathology, Johns Hopkins All Children's Hospital, St. Petersburg, USA., Wilsey M Jr; Gastroenterology, Johns Hopkins All Children's Hospital, St. Petersburg, USA.; Pediatrics, University of South Florida College of Medicine, Tampa, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2020 Jul 24; Vol. 12 (7), pp. e9377. Date of Electronic Publication: 2020 Jul 24. |
| DOI: | 10.7759/cureus.9377 |
| Abstrakt: | Eosinophilic gastroenteritis (EGE) is an uncommon disease characterized by immune cell-mediated inflammation of the gastrointestinal (GI) tract resulting in vague abdominal symptoms, most commonly nausea, vomiting, diarrhea, and abdominal pain. We report the case of a 16-year-old male presenting with a six-week history of progressive pruritus, jaundice, fatigue, abdominal pain, acholic stools, and dark-colored urine. This patient was diagnosed via endoscopy with biliary obstruction caused by a large, solitary, duodenal ulcer secondary to EGE. This is a severe complication of EGE and to our knowledge, this is the first reported case of biliary obstruction caused by a duodenal ulcer in a pediatric patient with EGE. Additionally, we describe the first pediatric combined percutaneous-endoscopic rendezvous technique after failed therapeutic endoscopic retrograde cholangiography (ERCP) to relieve the biliary obstruction. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Peck et al.) |
| Databáze: | MEDLINE |
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