| A Case of Eosinophilic Gastroenteritis with Rapid Deterioration Mimicking Borrmann Type 4 Advanced Gastric Cancer |
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Ju Young Lee, In Sun Min, Jung Un Hong, Tae Seob Jung, Bo Bae Park, In Young Nho, Sung Hwan Kang |
1Department of Internal Medicine, Sungae Hospital, Seoul, Korea. kshwan0317@naver.com
2Department of Internal Medicine, Gwangmyeong Sungae Hospital, Gwangmyeong, Korea. |
| Borrmann 4형 진행 위암으로 오인된 급성 경과를 보인 호산구성 위장관염 1예 |
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이주영, 민인선, 홍정운1, 정태섭1, 박보배, 노인영1, 강성환 |
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성애병원 내과, 광명성애병원 내과1 |
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| Abstract |
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Eosinophilic gastroenteritis is an uncommon disease of unknown etiology that is characterized by massive tissue infiltration of eosinophils in the tissue layers of various areas of the gastrointestinal tract. An accurate diagnosis is difficult as clinical presentations, symptoms, endoscopic and radiologic findings are nonspecific. A 51-year-old man visited our hospital presenting with abdominal pain. Esophagogastroduodenoscopy revealed diffuse hyperemic mucosal lesions at the stomach, duodenum. Symptoms and endoscopic findings deteriorated rapidly after three days. Small amounts of eosinophilic infiltration without malignant cells was confirmed from biopsy. However, we could not exclude malignancy and performed a subtotal gastrectomy. Stomach specimen showed eosinophilic infiltrations, and the patient was finally diagnosed as eosinophilic gastroenteritis. We report a case of atypical eosinophilic gastritis with rapid deterioration mimicking Borrmann type 4 advanced gastric cancer. |
| Key Words:
Eosinophilic gastroenteritis; Borrmann type 4 advanced gastric cancer; Thickened gastric wall |
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