Acute Pancreatitis Obstructed by a "Stone" as the First Manifestation of Eosinophilic Gastroenteritis in AIDS: A Case Report.

Autor: Zhang F; Department of Gastroenterology, Hang Zhou Xixi Hospital, 2 Hengbu Street, Xihu District, Hang Zhou 310032, Zhejiang, Province, China., Xu J; Department of Gastroenterology, Hang Zhou Xixi Hospital, 2 Hengbu Street, Xihu District, Hang Zhou 310032, Zhejiang, Province, China., Zhu Y; Department of Gastroenterology, Hang Zhou Xixi Hospital, 2 Hengbu Street, Xihu District, Hang Zhou 310032, Zhejiang, Province, China., Chen S; Department of Gastroenterology, Hang Zhou Xixi Hospital, 2 Hengbu Street, Xihu District, Hang Zhou 310032, Zhejiang, Province, China., Shi Y; Department of Gastroenterology, Hang Zhou Xixi Hospital, 2 Hengbu Street, Xihu District, Hang Zhou 310032, Zhejiang, Province, China., Zhan Z; Department of Gastroenterology, Hang Zhou Xixi Hospital, 2 Hengbu Street, Xihu District, Hang Zhou 310032, Zhejiang, Province, China., Zhou J; Department of Gastroenterology, Hang Zhou Xixi Hospital, 2 Hengbu Street, Xihu District, Hang Zhou 310032, Zhejiang, Province, China., Jiang Y; Department of Gastroenterology, Hang Zhou Xixi Hospital, 2 Hengbu Street, Xihu District, Hang Zhou 310032, Zhejiang, Province, China., Wang H; Department of Gastroenterology, Hang Zhou Xixi Hospital, 2 Hengbu Street, Xihu District, Hang Zhou 310032, Zhejiang, Province, China.
Jazyk: angličtina
Zdroj: Current medical imaging [Curr Med Imaging] 2024 Jan 02. Date of Electronic Publication: 2024 Jan 02.
DOI: 10.2174/0115734056255617231114075914
Abstrakt: Background: Acquired immune deficiency syndrome (AIDS) associated with eosinophilic gastroenteritis is rare. We report a case of duodenal "stone" inducing acute pancreatitis with eosinophilic gastroduodenitis in an AIDS patient.
Case Summary: A 73-year-old female AIDS patient came to the hospital with recurrent abdominal pain for 20 days. Computed tomography (CT) showed pancreatitis with exudation and a high-density shadow under the gastric antrum. Gastroscopy showed that the descending part of the duodenum was blocked by a "stone". The mucosa of the duodenum was rough, and a red polyp was found on the gastric body. The pathology result was chronic inflammation with eosinophilic granulocytes in the duodenal mucosa and gastric body polyp.
Conclusion: When AIDS patients suffer acute pancreatitis, the possibility of eosinophilic gastroenteritis needs to be considered to enable the patient to accept timely treatment.
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Databáze: MEDLINE