회장 말단부 폐쇄를 동반한 호산구성 위장관염 1예
A case of eosinophilic gastroenteritis with terminal ileal obstruction
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초록
저자들은 회장말단 부위에 장관 전층의 호산구의 침윤으로 장폐쇄를 야기하고, 복강내 장관들의 심한 유착을 보이는 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.
Abstract
Eosinophilic gastroenteritis is a rare clinicopathologic entity of an unknown etiology with a variety of digestive symptoms. The clinical features depend on the site of eosinophilic infiltration and affected layer of intestinal wall. Diagnostic criteria include demonstration of eosinophilic infiltration of the affected bowel wall, lack of evidence extra-intestinal disease, and exclusion of various disorders that could mimic similar conditions. We experienced a 54-year-old man with 6 months history of severe intermittent abdominal colic associated with malnutrition and weight loss. Abdominal computed tomography showed mass like lesion at terminal ileum, which caused partial small bowel obstruction. So, we carried out laparotomy, and then segmental resection and ileo-ascending colostomy were done because of small bowel obstrucion. We diagnosed the case as transmural type of eosinophilic gastroenteritis. We report this case with a brief review of the literatures.(Korean J Med 63:701-705, 2002)