Eosinophilic gastroenteritis

Case contributed by Fakhry Mahmoud Ebouda
Diagnosis certain

Presentation

Middle-age female complains of dysphagia, epigastric pain, nausea, and vomiting.

Patient Data

Age: 40 years
Gender: Female

the whole mark of the study is diffuse symmetric wall thickening of the entire gut from the visualized lower esophagus down to the rectosigmoid raising the possibility of underlying inflammatory bowel disease.

Case Discussion

The patient underwent upper GI endoscopy before CT exam showed hyperemic edematous gastric rugae with marked pyloric thickening and edema involving 10 cm of the duodenum. The treating physician informed me of the histopathological result which is eosinophilic gastroenteritis (hypertrophic eosinophilic syndrome).

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