scholarly journals A Case of Eosinophilic Gastroenteritis with Ascites

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Erkan Caglar ◽  
Aslı Sezgin Caglar ◽  
Suut Gokturk ◽  
Ahmet Dobrucali
Keyword(s):  
Differential Diagnosis ◽  
Gastrointestinal Tract ◽  
Laboratory Testing ◽  
Clinical Presentation ◽  
Immunoglobulin E ◽  
Endoscopic Examination ◽  
Eosinophilic Gastroenteritis ◽  
Eosinophilic Infiltration ◽  
Pathologic Findings ◽  
Upper Gastrointestinal

Eosinophilic gastroenteritis is a rare disorder of unknown cause characterized by focal or diffuse eosinophilic infiltration of gastrointestinal tract, especially the stomach and duodenum. Its clinical presentation depends on which segment of gastrointestinal tract is affected and on the depth of eosinophilic infiltration in the affected segment. We present a case of a 35-year-old male with abdominal distention for six months. Laboratory testing revealed elevated eosinophil count and serum immunoglobulin E (IgE) levels. In abdominal tomography, ascites was observed, and eosinophilic infiltration was detected in duodenum biopsy samples, collected during endoscopic examination of upper gastrointestinal system. Clinical and pathologic findings of the patient responded to steroid dramatically. Even though their comorbidity is rare, eosinophilic gastroenteritis should be considered in differential diagnosis of patients with unspecified ascites.

scholarly journals Eosinophilic gastroenteritis with multiple serous membrane effusion as the first sign: a case report and literature review

2020 ◽  
Vol 48 (4) ◽  
pp. 030006052091727
Author(s):  
Ma Liang ◽  
Zhang Liwen ◽  
Chen Bingfang ◽  
Ding Yanbo ◽  
Chen Jianping
Keyword(s):  
Immunoglobulin E ◽  
Rectal Biopsy ◽  
Endoscopic Examination ◽  
Eosinophilic Gastroenteritis ◽  
Wall Thickening ◽  
Peripheral Eosinophilia ◽  
Serous Membrane ◽  
Moderate Amount ◽  
Treatment Methods ◽  
Upper Gastrointestinal

Multiple serous membrane effusion (MSSE) as the first sign of eosinophilic gastroenteritis is extremely rare, and its clinical features and treatment methods have not been well described. The clinical characteristics, diagnosis, and treatment methods of MSSE in a 44-year-old woman were retrospectively reviewed. Laboratory testing revealed an elevated eosinophil count and serum immunoglobulin E level. The levels of all tumor markers were normal, but the CA125 level in serum and ascitic fluid was significantly increased. Ultrasonography showed a large amount of ascites and a moderate amount of pleural effusion. Echocardiography showed a small amount of pericardial effusion. Chest and abdominal computed tomography showed gastrointestinal wall thickening. Moreover, eosinophilic infiltration was detected in duodenal and rectal biopsy samples that had been collected during endoscopic examination of the upper gastrointestinal system. The patient was treated with 30 mg of prednisolone, and seafood was excluded from her diet for 4 weeks. The prednisolone was tapered over 8 weeks and continued at 5 mg prednisolone daily thereafter. The MSSE and peripheral eosinophilia showed a dramatic response to the steroid treatment. This case indicates that we should be highly aware of MSSE as the first clinical manifestation of eosinophilic gastroenteritis.

scholarly journals Metastatic Melanoma Presenting as Intussusception in an 80-Year-Old Man: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Sarah Alghamdi ◽  
Yumna Omarzai
Keyword(s):  
Differential Diagnosis ◽  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Metastatic Melanoma ◽  
Clinical Presentation ◽  
Gastrointestinal Symptoms ◽  
Common Site ◽  
Neoplastic Process ◽  
History Of ◽  
Uncommon Neoplasm

Malignant melanoma of the gastrointestinal tract is an uncommon neoplasm that could be primary or metastatic. Small intestine represents the most common site for the metastatic melanoma; however, it could be found anywhere in the gastrointestinal tract. Intussusception is a rare cause of intestinal obstruction in adults compared to children. In 90% of the cases, the underlying cause can be found, and in 65% of the cases, intussusception is caused by the neoplastic process. The majority of the neoplasms are benign, and about 15% are malignant. Metastatic melanoma is one of the most common metastatic malignancies to the gastrointestinal tract; however, the premortem diagnosis is rarely made. Here, we report an uncommon clinical presentation of metastatic melanoma causing intussusception in an 80-year-old man. This diagnosis should be considered in a differential diagnosis in any patient who presents with gastrointestinal symptoms and a history of melanoma.

Clinical Presentation and Anatopathologic Finding of a Hepatic Vascular Hamartoma: a Case Report.

2018 ◽  
Vol 17 (5) ◽  
pp. 0-10
Author(s):  
Valentina Ferri ◽  
Benedetto Ielpo ◽  
Hipolito Duran ◽  
Eduardo Diaz ◽  
Isabel Fabra ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Benign Tumor ◽  
Vascular Tissue ◽  
Clinical Presentation ◽  
Mesenchymal Hamartoma ◽  
Total Excision ◽  
Pathologic Findings ◽  
Vascular Hamartoma

HVH (hepatic vascular hamartoma) is a tumor like malformation arising from the vascular tissue of the liver. HVH has been previously reported in animals and presents distintive features from the most frequent benign tumor like malformation of the liver, the hepatic mesenchymal hamartoma (HMH). Herein we report a case of HVH localized in hepatic segment 4b, involving the gastro hepatic ligament, successfully treated with total excision. We describe the anatomo-pathologic findings focusing on the clinical and radiological presentation, the intraoperative characteristics and the differential diagnosis.

scholarly journals Full-thickness resection device (FTRD) for treatment of upper gastrointestinal tract lesions: the first international experience

2020 ◽  
Vol 08 (10) ◽  
pp. E1291-E1301
Author(s):  
Mouen A. Khashab ◽  
Reem Z. Sharaiha ◽  
Kaveh Hajifathalian ◽  
Yervant Ichkhanian ◽  
Qais Dawod ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Resection ◽  
Early Recurrence ◽  
Endoscopic Examination ◽  
Upper Gastrointestinal Tract ◽  
R0 Resection ◽  
Full Thickness ◽  
Technical Success Rate ◽  
Average Size ◽  
Upper Gastrointestinal

Abstract Background and study aims The Full-Thickness Resection Device (FTRD) provides a novel treatment option for lesions not amenable to conventional endoscopic resection techniques. There are limited data on the efficacy and safety of FTRD for resection of upper gastrointestinal tract (GIT) lesions. Patients and methods This was an international multicenter retrospective study, including patients who had an endoscopic resection of an upper GIT lesion using the FTRD between January 2017 and February 2019. Results Fifty-six patients from 13 centers were included. The most common lesions were mesenchymal neoplasms (n = 23, 41 %), adenomas (n = 7, 13 %), and hamartomas (n = 6, 11 %). Eighty-four percent of lesions were located in the stomach, and 14 % in the duodenum. The average size of lesions was 14 mm (range 3 to 33 mm). Deployment of the FTRD was technically successful in 93 % of patients (n = 52) leading to complete and partial resection in 43 (77 %) and 9 (16 %) patients, respectively. Overall, the FTRD led to negative histological margins (R0 resection) in 38 (68 %) of patients. A total of 12 (21 %) mild or moderate adverse events (AEs) were reported. Follow-up endoscopy was performed in 31 patients (55 %), on average 88 days after the procedure (IQR 68–138 days). Of these, 30 patients (97 %) did not have any residual or recurrent lesion on endoscopic examination and biopsy, with residual adenoma in one patient (3 %). Conclusions Our results suggest a high technical success rate and an acceptable histologically complete resection rate, with a low risk of AEs and early recurrence for FTRD resection of upper GIT lesions.

scholarly journals THE USE OF THE FORCEPS BIOPSY AS AN AUXILIARY TECHNIQUE FOR THE VISUALIZATION OF THE MAJOR DUODENAL PAPILLA USING THE FOWARD-VIEWING UPPER ENDOSCOPY

2018 ◽  
Vol 55 (1) ◽  
pp. 46-49
Author(s):  
Nathalia Saber de ANDRADE ◽  
Ana Maria Félix ANDRÉ ◽  
Victor Hugo Perches FERREIRA ◽  
Lincoln Eduardo Villela Vieira de Castro FERREIRA
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Examination ◽  
Upper Gastrointestinal Tract ◽  
Upper Endoscopy ◽  
Biopsy Forceps ◽  
Duodenal Papilla ◽  
Forceps Biopsy ◽  
Additional Tool ◽  
Major Duodenal Papilla ◽  
Upper Gastrointestinal

ABSTRACT BACKGROUND: - Conventional esophagogastroduodenoscopy is the best method for evaluation of the upper gastrointestinal tract, but it has limitations for the identification of the major duodenal papilla, even after the use of the straightening maneuver. Side-viewing duodenoscope is recommended for optimal examination of major duodenal papilla in patients at high risk for lesions in this region. OBJECTIVE: To evaluate the use of the biopsy forceps during conventional esophagogastroduodenoscopy as an additional tool to the straightening maneuver, in the evaluation of the major duodenal papilla. METHODS: A total of 671 patients were studied between 2013 and 2015, with active major duodenal papilla search in three endoscope steps: not straightened, straightened and use of the biopsy forceps after straightening. In all of them it was recorded whether: major duodenal papilla was fully visualized (position A), partially visualized (position B) or not visualized (position C). If major duodenal papilla was not fully visualized, patients continued to the next step. RESULTS: A total of 341 were female (50.8%) with mean age of 49 years. Of the 671 patients, 324 (48.3%) major duodenal papilla was identified in position A, 112 (16.7%) in position B and 235 (35%) in position C. In the 347 patients who underwent the straightening maneuver, position A was found in 186 (53.6%), position B in 51 (14.7%) and position C in 110 (31.7%). Of the 161 remaining patients and after biopsy forceps use, position A was seen in 94 (58.4%), position B in 14 (8.7%) and position C in 53 (32.9%). The overall rate of complete visualization of major duodenal papilla was 90%. CONCLUSION: The use of the biopsy forceps significantly increased the total major duodenal papilla visualization rate by 14%, reaching 604/671 (90%) of the patients (P<0.01) and it can be easily incorporated into the routine endoscopic examination of the upper gastrointestinal tract.

Tu1116 Eosinophilic Infiltration in the Upper Gastrointestinal Tract in Patients With Bronchial Asthma

2015 ◽  
Vol 148 (4) ◽  
pp. S-791
Author(s):  
Hiroyuki Imaeda ◽  
Minoru Yamaoka ◽  
Kazuaki Yoneno ◽  
Hideki Ohgo ◽  
Takehito Kobayashi ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Bronchial Asthma ◽  
Upper Gastrointestinal Tract ◽  
Eosinophilic Infiltration ◽  
Upper Gastrointestinal

Endoscopic examination of the upper gastrointestinal tract in infancy

1983 ◽  
Vol 29 (1) ◽  
pp. 15-17 ◽  
Author(s):  
Mei-Hwei Chang ◽  
Teh-Hong Wang ◽  
Juei-Yung Hsu ◽  
Ting-Chien Lee ◽  
Cheng-Yi Wang ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Examination ◽  
Upper Gastrointestinal Tract ◽  
Upper Gastrointestinal
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