在成年人中伴随部分中肠恶性转移的eosinophilic胃肠炎:一个病例报告
Xiaotong Cui1, Changlei Li1, Yukun Liu1
1Department of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
The American journal of case reports
|November 13, 2025
概括
在成年人中,与部分中肠恶性旋转同时发生的乳酸性胃肠炎 (EGE) 异常罕见. 这份病例报告详细介绍了一种成功的治疗方法,用于一个25岁的男性患者,这种双重诊断.
科学领域:
- 胃肠病学 胃肠病学
- 临床病例报告 临床病例报告
- 医学诊断 医学诊断 医学诊断
背景情况:
- 酸性胃肠炎 (EGE) 是一种罕见的胃肠炎症.
- 部分中肠恶性旋转是一种先天性异常,通常在婴儿期被诊断出来.
- 在成年人中,EGE和部分中肠恶性转移的同时发生非常罕见.
研究的目的:
- 报告一个极其罕见的成年开始的带有部分中肠恶性转变的eosinophilic胃肠炎病例.
- 要突出诊断挑战和管理这个双重的胃肠道疾病.
主要方法:
- 一个25岁的男性的病例介绍,他患有腹膜疼痛和膨胀.
- 诊断工作包括实验室测试 (eosinophilia,CRP,IGE),CT扫描,内镜和组织病理学.
- 治疗包括皮质类固醇和支持性护理.
主要成果:
- 患者出现了暗示EGE的症状,成像检查证实了部分中肠恶转.
- 组织病理学证实了胃和十二指肠粘膜的eosinophilic透.
- 治疗导致显著的临床和血液学改善.
结论:
- 在成年人中,EGE和部分中肠恶性转移的共存是一种罕见但至关重要的诊断考虑因素.
- 临床医生应该怀疑成年人有无法解释的胃肠道症状的结构异常.
- 迅速的多学科评估对于准确的诊断和管理至关重要.
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