A Patient With Eosinophilic Gastroenteritis Presenting With Severe Abdominal Pain

ABSTRACT Eosinophilic gastroenteritis is characterized by eosinophilic infiltration of the stomach and intestine. It is a rare disorder with bizarre presentations, making it difficult to diagnose and often leading to misdiagnoses. It can present with abdominal pain, diarrhea, vomiting, obstruction,...

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Main Authors: Sumona Islam, Dewan Saifuddin Ahmed, Nabila Tasneem Khan, Farjana Sultana Rakhi
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.9667
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author Sumona Islam
Dewan Saifuddin Ahmed
Nabila Tasneem Khan
Farjana Sultana Rakhi
author_facet Sumona Islam
Dewan Saifuddin Ahmed
Nabila Tasneem Khan
Farjana Sultana Rakhi
author_sort Sumona Islam
collection DOAJ
description ABSTRACT Eosinophilic gastroenteritis is characterized by eosinophilic infiltration of the stomach and intestine. It is a rare disorder with bizarre presentations, making it difficult to diagnose and often leading to misdiagnoses. It can present with abdominal pain, diarrhea, vomiting, obstruction, ascites, etc. Here, we report a case of a middle‐aged female who presented with severe abdominal pain and was initially suspected to have acute pancreatitis. She received conservative management, but symptoms did not improve. This led to further evaluation, which revealed peripheral blood eosinophilia. Although the mucosa appeared normal on esophagogastroduodenoscopy, biopsy from multiple sites revealed eosinophilic infiltration in the gastric and duodenal lamina propria. The patient was then successfully treated with oral steroid. Due to its varied presentations, eosinophilic gastroenteritis should be considered as the differential diagnosis in different abdominal presentations.
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issn 2050-0904
language English
publishDate 2024-12-01
publisher Wiley
record_format Article
series Clinical Case Reports
spelling doaj-art-a4c1924e7e544e43bed9ae1bf856676d2025-08-20T01:57:19ZengWileyClinical Case Reports2050-09042024-12-011212n/an/a10.1002/ccr3.9667A Patient With Eosinophilic Gastroenteritis Presenting With Severe Abdominal PainSumona Islam0Dewan Saifuddin Ahmed1Nabila Tasneem Khan2Farjana Sultana Rakhi3Department of Gastroenterology Bangabandhu Sheikh Mujib Medical University Dhaka BangladeshDepartment of Gastroenterology Bangabandhu Sheikh Mujib Medical University Dhaka BangladeshDelta Hospital Dhaka BangladeshDepartment of Gastroenterology Bangabandhu Sheikh Mujib Medical University Dhaka BangladeshABSTRACT Eosinophilic gastroenteritis is characterized by eosinophilic infiltration of the stomach and intestine. It is a rare disorder with bizarre presentations, making it difficult to diagnose and often leading to misdiagnoses. It can present with abdominal pain, diarrhea, vomiting, obstruction, ascites, etc. Here, we report a case of a middle‐aged female who presented with severe abdominal pain and was initially suspected to have acute pancreatitis. She received conservative management, but symptoms did not improve. This led to further evaluation, which revealed peripheral blood eosinophilia. Although the mucosa appeared normal on esophagogastroduodenoscopy, biopsy from multiple sites revealed eosinophilic infiltration in the gastric and duodenal lamina propria. The patient was then successfully treated with oral steroid. Due to its varied presentations, eosinophilic gastroenteritis should be considered as the differential diagnosis in different abdominal presentations.https://doi.org/10.1002/ccr3.9667eosinophiliaeosinophilic gastroenteritiseosinophilic gastrointestinal disorderseosinophilic infiltration
spellingShingle Sumona Islam
Dewan Saifuddin Ahmed
Nabila Tasneem Khan
Farjana Sultana Rakhi
A Patient With Eosinophilic Gastroenteritis Presenting With Severe Abdominal Pain
Clinical Case Reports
eosinophilia
eosinophilic gastroenteritis
eosinophilic gastrointestinal disorders
eosinophilic infiltration
title A Patient With Eosinophilic Gastroenteritis Presenting With Severe Abdominal Pain
title_full A Patient With Eosinophilic Gastroenteritis Presenting With Severe Abdominal Pain
title_fullStr A Patient With Eosinophilic Gastroenteritis Presenting With Severe Abdominal Pain
title_full_unstemmed A Patient With Eosinophilic Gastroenteritis Presenting With Severe Abdominal Pain
title_short A Patient With Eosinophilic Gastroenteritis Presenting With Severe Abdominal Pain
title_sort patient with eosinophilic gastroenteritis presenting with severe abdominal pain
topic eosinophilia
eosinophilic gastroenteritis
eosinophilic gastrointestinal disorders
eosinophilic infiltration
url https://doi.org/10.1002/ccr3.9667
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