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Updated: Jul 1, 2025
03:23
Author Spotlight: Investigating the Pathophysiology of Eosinophilic Esophagitis
Published on: May 10, 2024
750
Eosinophilic Gastroenteritis Causing Pyloric Stenosis: A Rare Manifestation
Fei Yang Pan1, Matthew Smale1, Michael Rennie1
1Department of Gastroenterology, Wollongong Hospital, Wollongong, NSW, Australia.
ACG Case Reports Journal
|March 5, 2024
Summary
This case study details a rare instance of eosinophilic gastritis causing critical pyloric stenosis in an adolescent. Treatment involved surgery and long-term immunosuppression after steroids failed.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Immunology
Background:
- Eosinophilic gastritis is a rare gastrointestinal condition involving eosinophil buildup in the stomach wall.
- Pyloric stenosis, a narrowing of the stomach's exit, can cause severe digestive issues.
Observation:
- A 16-year-old girl presented with nausea, vomiting, early satiety, and abdominal pain.
- Imaging and endoscopy confirmed pyloric stenosis, but eosinophilic gastritis diagnosis was difficult.
Findings:
- High-dose corticosteroids were ineffective in treating the condition.
- A laparoscopic gastrojejunostomy was surgically performed.
- Long-term immunosuppression with mycophenolate mofetil was initiated.
Implications:
- This case highlights the diagnostic challenges of eosinophilic gastritis.
- It demonstrates the need for surgical intervention and immunosuppression in refractory cases.
- Highlights a rare cause of pediatric pyloric stenosis.
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