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英文誌(2004-)

Journal of Medical Ultrasonics

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1991 - Vol.18

Vol.18 No.02

Case Report(症例報告)

(0215 - 0220)

超音波検査が診断に有用であった好酸球性胃腸炎の1例

Usefulness of Ultrasound in Diagnosis of Eosinophilic Gastroenteritis: Report of a Case

白浜 正文1, 古賀 貴文1, 石橋 大海2, 内田 哲1

Masafumi SHIRAHAMA1, Takafumi KOGA1, Hiromi ISHIBASHI2, Satoshi UCHIDA1

1佐賀県立病院好生館内科, 2九州大学第一内科

1Department of Internal Medicine, Saga Prefectural Hospital, 2The First Department of Internal Medicine, Faculty of Medicine, Kyushu University

キーワード : Ultrasound, Eosinophilic gastroenteritis

Probably the first case report concerning a sonography of eosinophilic gastroenteritis is here reported. A 33-year-old man with abdominal pain, vomiting, and watery diarrhea was admitted to our hospital. He had a history of bronchial asthma over the past 13 years. The laboratory data showed a white blood cell count of 14,100 cells/mm³ with 18% eosinophils. The fecal ova and parasites check proved to be negative. The sonography demonstrated a pronounced thickening of the enteric wall of the ileum. A paracentesis performed under sonographic guidance revealed a profound infiltration of eosinophils in the ascites. A double-contrast barium study of the ileum disclosed a luminal narrowing and edematous Kerckring folds without ulcerations. The ileal biopsy, which showed eosinophilic infiltrations, confirmed the diagnosis of eosinophilic gastroenteritis. His clinical symptoms disappeared soon after the prednisolone therapy was started. Follow-up sonographic and barium study examinations revealed a normalization of the intestinal edema. Sonography proved to be a useful tool for the diagnosis and follw-up study of eosinophilic gastroenteritis.