Cases reported "Gastritis"

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1/6. Eosinophilic gastritis--an unusual cause of gastric outlet obstruction.

    Eosinophilic gastroenteritis is a rare entity. We report a 41-year-old man who presented with features of gastric outlet obstruction due to a submucosal lesion in the distal end of the stomach. Distal gastrectomy with Billroth II reconstruction was done. histology showed eosinophilic gastritis infiltrating the muscular and serosal layers of the pylorus and antrum.
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keywords = gastroenteritis
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2/6. Fatal eosinophilic gastroenterocolitis in a two-year-old child.

    We report a case of eosinophilic gastroenterocolitis in a 2-year-old child with extensive fibrosis, atrophy of the muscularis propria and involvement of stomach, small bowel and colon. Following an attack of acute gastroenteritis at the age of 15 months the symptoms of ileus persisted. A biopsy of small bowel at the age of 18 months showed numerous eosinophilic granulocytes in the mucosa. At the age of 28 months the child died with paralytic ileus. This is the first case known to us of an eosinophilic gastroenteritis in early childhood with a fatal outcome.
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keywords = gastroenteritis
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3/6. cytomegalovirus-induced gastritis in a bone marrow transplant patient.

    cytomegalovirus (CMV)-induced interstitial pneumonitis is a well-known lethal complication in bone marrow recipients. CMV is also known to cause gastroenteritis. We report the first case of a bone marrow recipient who developed CMV-induced gastritis which is verified both histologically and virologically. The gastritis preceded the interstitial pneumonitis which was detected in an early stage and was successfully treated. We propose that bone marrow recipients who show signs and symptoms of gastritis undergo an endoscopic examination, and that biopsied specimens should be scrutinized for CMV by both histological examination and culture investigation.
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ranking = 1
keywords = gastroenteritis
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4/6. Case report: eosinophilic gastritis simulating a neoplasm.

    A case of eosinophilic gastritis that presented with a gastric mass and simulated a malignancy is described. The patient underwent a gastric resection, developed a recurrence and then had a spontaneous remission. His radiographic, endoscopic, histologic, and electron microscopic findings are discussed. A review of the literature on eosinophilic gastroenteritis is included.
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ranking = 1
keywords = gastroenteritis
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5/6. Granulomatous gastroenteritis. Case report with comparison to idiopathic isolated granulomatous gastritis.

    A woman with epigastric pain, vomiting, weight loss, and an upper gastrointestinal series showing antral rigidity suggestive of linitis plastica was found to have granulomatous inflammation of the stomach. Additional investigations disclosed more extensive gastrointestinal involvement, with noncaseating granulomas found in esophageal and colonic mucosa, despite normal appearances at endoscopy. Intestinal permeability to [51Cr]EDTA was increased, suggesting intestinal mucosal injury. No specific entity, including disseminated sarcoidosis or Crohn's disease, was diagnosed. This patient with granulomatous gastroenteritis had a clinical and histologic response to medical therapy with prednisone and recurrence of symptoms when prednisone was tapered. Her clinical course was similar to that of previous cases of idiopathic isolated granulomatous gastritis treated nonsurgically. Cases of idiopathic isolated granulomatous gastritis should be categorized as such only if a thorough evaluation has been performed to determine extent of disease, as well as to exclude other entities.
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ranking = 5
keywords = gastroenteritis
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6/6. Eosinophilic gastritis. Radiologic-pathologic correlation (RPC) from the Armed Forces Institute of pathology (AFIP).

    Eosinophilic gastroenteritis may involve the gastrointestinal tract locally ofr diffusely. When localized to the stomach, the preferred terminology is "eosinophilic gastritis". Pathologically, this entity is characterized by a high eosinophil count (which closely follows the symptomatology) and diffuse infiltration of the antral wall by eosinophils. Typical roentgenographic manifestations include gastric antral rigidity, thickened folds, and mucosal nodules. The differential diagnosis is discussed. Correct diagnosis is vital because of the benign nature of the disease and good response to conservative therapy.
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ranking = 1
keywords = gastroenteritis
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