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首页> 外文期刊>World Journal of Gastroenterology >Eosinophilic gastroenteritis presenting as small bowel obstruction: A case report and review of the literature
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Eosinophilic gastroenteritis presenting as small bowel obstruction: A case report and review of the literature

机译：表现为小肠梗阻的嗜酸性胃肠炎：一例病例报告并文献复习

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摘要

Eosinophilic gastroenteritis is a rare disease of unknown etiology. It is characterized by eosinophilic infiltration of the bowel wall to a variable depth and symptoms associated with gastrointestinal tract. Recently, the authors experienced a case of eosinophilic gastroenteritis presenting as small bowel obstruction. A 51-year old woman was admitted to our hospital complaining of abdominal pain and vomiting. Physical examination revealed a distended abdomen with diffuse tenderness. Complete blood count showed mild leukocytosis without eosinophilia. Computed tomography confirmed a dilatation of the small intestine with ascites. An emergency laparotomy was performed for a diagnosis of peritonitis due to intestinal obstruction. Segmental resection of the ileum and end to end anastomosis were performed. Histologically, there was a dense infiltration of eosinophils throughout the entire thickness of ileal wall and eosinophilic enteritis was diagnosed. The patient recovered well, and was free from gastrointestinal symptoms at the time when we reported her disease.
机译：嗜酸性胃肠炎是一种病因不明的罕见疾病。其特征是肠壁嗜酸性浸润至可变深度，并伴有胃肠道症状。最近，作者经历了一例嗜酸性肠胃炎，表现为小肠梗阻。一名51岁的妇女因腹部疼痛和呕吐入院。体格检查显示腹部膨大，有压痛。全血细胞计数显示轻度白细胞增多，无嗜酸性粒细胞增多。计算机体层摄影术证实小肠腹水扩张。进行紧急剖腹术以诊断由于肠梗阻引起的腹膜炎。进行回肠段切除术和端到端吻合术。从组织学上讲，嗜酸性粒细胞在回肠壁的整个厚度上都有密集的浸润，并诊断出嗜酸性粒细胞性肠炎。该患者康复良好，在我们报告她的疾病时没有胃肠道症状。

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