Clinical Analysis of Eosinophilic Gastroenteritis Misdiagnosed as Duodenal Papillary Carcinoma
LIANG Yao-jie
JIAO Hua-bo
DU Jun-dong
ZHU Zi-man
WU Lei-chao
JIN Xin
CAI Shou-wang
SUN Jun-zhong
Abstract：Objective To explore misdiagnosis causes of eosinophilic gastroenteritis ( EG) and preventive measures. Methods Clinical data of one patient with EG misdiagnosed as duodenal papillary carcinoma was retrospectively analyzed and relevant literature was reviewed. Results The patient with right upper abdominal pain and intermittent fever for 1 year was admitted for the 2 weeks of aggravation and vomiting. The patient was allergic to penicillin and many foods, but was suspected as having duodenal tumor according the results of gastroduodenoscopy, abdominal B ultrasound, CT and MRI. No evidence was found in biopsy. Considered as duodenal papillary carcinoma, the patient underwent exploratory laparotomy, and no evi-dence of tumor was found in intraoperative pathological examination. Then the patient's family members asked for pancreati-coduodenectomy. Diffuse EG was confirmed by the postoperative pathological diagnosis. After corresponding treatment, the patient was discharged after recovery. Conclusion The incidence of EG is low. The atypical clinical manifestations and ima-ging changes sometimes are similar to gastric cancer or duodenal papillary carcinoma, so more attention should be paid to the differential diagnosis.
Keywords：GastroenteritisEosinophiliaDiagnostic errorsDuodenal neoplasms
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 20-22 )