Eosinophilic gastroenteritis presenting as upper gastrointestinal hematoma and ulcers after endoscopic biopsy: A case report and literature review
Eosinphilic gastroenteritis (EG) is a gastrointestinal disorder characterized by eosinophilic infiltration with various manifestations. The diagnosis is usually confirmed by an endoscopic biopsy, which is considered a safe and routine procedure for the majority. We report a 54-year-old male who was...
Gespeichert in:
| Veröffentlicht in: | Medicine (Baltimore) 2017-09, Vol.96 (37), p.e8075-e8075 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e8075 |
|---|---|
| container_issue | 37 |
| container_start_page | e8075 |
| container_title | Medicine (Baltimore) |
| container_volume | 96 |
| creator | Chen, Biqin Yang, Zhao Lu, Heng Wei, Cheng Wang, Fangyu Liu, Chang |
| description | Eosinphilic gastroenteritis (EG) is a gastrointestinal disorder characterized by eosinophilic infiltration with various manifestations. The diagnosis is usually confirmed by an endoscopic biopsy, which is considered a safe and routine procedure for the majority.
We report a 54-year-old male who was presented with intermittent periumbilical pain and melena, and only revealed verrucous gastritis by endoscopy.
The patient's condition worsened two days after the endoscopic biopsy, and another endoscopy found hematoma and ulcers in upper gastrointestinal tract. He was diagnosed with EG by the pathological analysis of biopsy specimen.
Oral methylprednisolone and Montelukast were prescribed.
The patient got remission after initiation of the treatment.
This case highlights an extremely rare but potentially severe complication of endoscopic biopsies in patients with EG. Physicians should be cautious with hematoma or ulceration, and consider it in such patients who undergo this procedure. |
| doi_str_mv | 10.1097/MD.0000000000008075 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5604677</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1938849688</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3550-a329e4d7350f188f79bb27447fd8bb7d5788ca6d1990d546b8f279b62b76a0f83</originalsourceid><addsrcrecordid>eNpdkU1v1DAQhi0EokvhFyAhH7mkjBN_ckCq2vIhteICZ8tJnI3BiY2ddNW_wS_G212qgi-WZ555Z_wOQq8JnBFQ4t3N5Rk8OhIEe4I2hDW8YorTp2gDULNKKEFP0IucfwCQRtT0OTqppQJOQW7Q76uQ3Rzi6Lzr8NbkJQU7Lza5xWUck83l5eYtNhmvMdp0ZFxhckkYj0c7mSVMBpu5x6vvbMrYDEUC27kPuQuxKLcuxHz3Hp_jzmSLk40hLfcV3hXULGvaR2-d3b1Ezwbjs311vE_R949X3y4-V9dfP325OL-uuoYxqExTK0t70TAYiJSDUG1bC0rF0Mu2FT0TUnaG90Qp6BnlrRzqwvC6FdzAIJtT9OGgG9d2sn1XPpqM1zG5yaQ7HYzT_2ZmN-ptuNWMA-VCFIG3R4EUfq3FDj253FnvzWzDmjVRjZRUcbnv1RzQLoWckx0e2hDQ-23qm0v9_zZL1ZvHEz7U_F1fAegB2AVfXMw__bqzSY_W-GW812NC1VUNRIAixbQS4dD8AVeir0c</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1938849688</pqid></control><display><type>article</type><title>Eosinophilic gastroenteritis presenting as upper gastrointestinal hematoma and ulcers after endoscopic biopsy: A case report and literature review</title><source>Wolters Kluwer Open Health</source><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>IngentaConnect Free/Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Chen, Biqin ; Yang, Zhao ; Lu, Heng ; Wei, Cheng ; Wang, Fangyu ; Liu, Chang</creator><creatorcontrib>Chen, Biqin ; Yang, Zhao ; Lu, Heng ; Wei, Cheng ; Wang, Fangyu ; Liu, Chang</creatorcontrib><description>Eosinphilic gastroenteritis (EG) is a gastrointestinal disorder characterized by eosinophilic infiltration with various manifestations. The diagnosis is usually confirmed by an endoscopic biopsy, which is considered a safe and routine procedure for the majority.
We report a 54-year-old male who was presented with intermittent periumbilical pain and melena, and only revealed verrucous gastritis by endoscopy.
The patient's condition worsened two days after the endoscopic biopsy, and another endoscopy found hematoma and ulcers in upper gastrointestinal tract. He was diagnosed with EG by the pathological analysis of biopsy specimen.
Oral methylprednisolone and Montelukast were prescribed.
The patient got remission after initiation of the treatment.
This case highlights an extremely rare but potentially severe complication of endoscopic biopsies in patients with EG. Physicians should be cautious with hematoma or ulceration, and consider it in such patients who undergo this procedure.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000008075</identifier><identifier>PMID: 28906408</identifier><language>eng</language><publisher>United States: The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Clinical Case Report ; Duodenal Ulcer - diagnosis ; Duodenal Ulcer - etiology ; Endoscopy, Gastrointestinal - adverse effects ; Enteritis - diagnosis ; Enteritis - drug therapy ; Enteritis - pathology ; Eosinophilia - diagnosis ; Eosinophilia - drug therapy ; Eosinophilia - pathology ; Gastric Mucosa - pathology ; Gastritis - diagnosis ; Gastritis - drug therapy ; Gastritis - pathology ; Gastrointestinal Hemorrhage - diagnosis ; Gastrointestinal Hemorrhage - etiology ; Hematoma - diagnosis ; Hematoma - drug therapy ; Hematoma - etiology ; Humans ; Male ; Middle Aged ; Stomach Ulcer - diagnosis ; Stomach Ulcer - etiology</subject><ispartof>Medicine (Baltimore), 2017-09, Vol.96 (37), p.e8075-e8075</ispartof><rights>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3550-a329e4d7350f188f79bb27447fd8bb7d5788ca6d1990d546b8f279b62b76a0f83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5604677/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5604677/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28906408$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Biqin</creatorcontrib><creatorcontrib>Yang, Zhao</creatorcontrib><creatorcontrib>Lu, Heng</creatorcontrib><creatorcontrib>Wei, Cheng</creatorcontrib><creatorcontrib>Wang, Fangyu</creatorcontrib><creatorcontrib>Liu, Chang</creatorcontrib><title>Eosinophilic gastroenteritis presenting as upper gastrointestinal hematoma and ulcers after endoscopic biopsy: A case report and literature review</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>Eosinphilic gastroenteritis (EG) is a gastrointestinal disorder characterized by eosinophilic infiltration with various manifestations. The diagnosis is usually confirmed by an endoscopic biopsy, which is considered a safe and routine procedure for the majority.
We report a 54-year-old male who was presented with intermittent periumbilical pain and melena, and only revealed verrucous gastritis by endoscopy.
The patient's condition worsened two days after the endoscopic biopsy, and another endoscopy found hematoma and ulcers in upper gastrointestinal tract. He was diagnosed with EG by the pathological analysis of biopsy specimen.
Oral methylprednisolone and Montelukast were prescribed.
The patient got remission after initiation of the treatment.
This case highlights an extremely rare but potentially severe complication of endoscopic biopsies in patients with EG. Physicians should be cautious with hematoma or ulceration, and consider it in such patients who undergo this procedure.</description><subject>Clinical Case Report</subject><subject>Duodenal Ulcer - diagnosis</subject><subject>Duodenal Ulcer - etiology</subject><subject>Endoscopy, Gastrointestinal - adverse effects</subject><subject>Enteritis - diagnosis</subject><subject>Enteritis - drug therapy</subject><subject>Enteritis - pathology</subject><subject>Eosinophilia - diagnosis</subject><subject>Eosinophilia - drug therapy</subject><subject>Eosinophilia - pathology</subject><subject>Gastric Mucosa - pathology</subject><subject>Gastritis - diagnosis</subject><subject>Gastritis - drug therapy</subject><subject>Gastritis - pathology</subject><subject>Gastrointestinal Hemorrhage - diagnosis</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Hematoma - diagnosis</subject><subject>Hematoma - drug therapy</subject><subject>Hematoma - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Stomach Ulcer - diagnosis</subject><subject>Stomach Ulcer - etiology</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQhi0EokvhFyAhH7mkjBN_ckCq2vIhteICZ8tJnI3BiY2ddNW_wS_G212qgi-WZ555Z_wOQq8JnBFQ4t3N5Rk8OhIEe4I2hDW8YorTp2gDULNKKEFP0IucfwCQRtT0OTqppQJOQW7Q76uQ3Rzi6Lzr8NbkJQU7Lza5xWUck83l5eYtNhmvMdp0ZFxhckkYj0c7mSVMBpu5x6vvbMrYDEUC27kPuQuxKLcuxHz3Hp_jzmSLk40hLfcV3hXULGvaR2-d3b1Ezwbjs311vE_R949X3y4-V9dfP325OL-uuoYxqExTK0t70TAYiJSDUG1bC0rF0Mu2FT0TUnaG90Qp6BnlrRzqwvC6FdzAIJtT9OGgG9d2sn1XPpqM1zG5yaQ7HYzT_2ZmN-ptuNWMA-VCFIG3R4EUfq3FDj253FnvzWzDmjVRjZRUcbnv1RzQLoWckx0e2hDQ-23qm0v9_zZL1ZvHEz7U_F1fAegB2AVfXMw__bqzSY_W-GW812NC1VUNRIAixbQS4dD8AVeir0c</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Chen, Biqin</creator><creator>Yang, Zhao</creator><creator>Lu, Heng</creator><creator>Wei, Cheng</creator><creator>Wang, Fangyu</creator><creator>Liu, Chang</creator><general>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170901</creationdate><title>Eosinophilic gastroenteritis presenting as upper gastrointestinal hematoma and ulcers after endoscopic biopsy: A case report and literature review</title><author>Chen, Biqin ; Yang, Zhao ; Lu, Heng ; Wei, Cheng ; Wang, Fangyu ; Liu, Chang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3550-a329e4d7350f188f79bb27447fd8bb7d5788ca6d1990d546b8f279b62b76a0f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Clinical Case Report</topic><topic>Duodenal Ulcer - diagnosis</topic><topic>Duodenal Ulcer - etiology</topic><topic>Endoscopy, Gastrointestinal - adverse effects</topic><topic>Enteritis - diagnosis</topic><topic>Enteritis - drug therapy</topic><topic>Enteritis - pathology</topic><topic>Eosinophilia - diagnosis</topic><topic>Eosinophilia - drug therapy</topic><topic>Eosinophilia - pathology</topic><topic>Gastric Mucosa - pathology</topic><topic>Gastritis - diagnosis</topic><topic>Gastritis - drug therapy</topic><topic>Gastritis - pathology</topic><topic>Gastrointestinal Hemorrhage - diagnosis</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Hematoma - diagnosis</topic><topic>Hematoma - drug therapy</topic><topic>Hematoma - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Stomach Ulcer - diagnosis</topic><topic>Stomach Ulcer - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Biqin</creatorcontrib><creatorcontrib>Yang, Zhao</creatorcontrib><creatorcontrib>Lu, Heng</creatorcontrib><creatorcontrib>Wei, Cheng</creatorcontrib><creatorcontrib>Wang, Fangyu</creatorcontrib><creatorcontrib>Liu, Chang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Biqin</au><au>Yang, Zhao</au><au>Lu, Heng</au><au>Wei, Cheng</au><au>Wang, Fangyu</au><au>Liu, Chang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eosinophilic gastroenteritis presenting as upper gastrointestinal hematoma and ulcers after endoscopic biopsy: A case report and literature review</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>96</volume><issue>37</issue><spage>e8075</spage><epage>e8075</epage><pages>e8075-e8075</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>Eosinphilic gastroenteritis (EG) is a gastrointestinal disorder characterized by eosinophilic infiltration with various manifestations. The diagnosis is usually confirmed by an endoscopic biopsy, which is considered a safe and routine procedure for the majority.
We report a 54-year-old male who was presented with intermittent periumbilical pain and melena, and only revealed verrucous gastritis by endoscopy.
The patient's condition worsened two days after the endoscopic biopsy, and another endoscopy found hematoma and ulcers in upper gastrointestinal tract. He was diagnosed with EG by the pathological analysis of biopsy specimen.
Oral methylprednisolone and Montelukast were prescribed.
The patient got remission after initiation of the treatment.
This case highlights an extremely rare but potentially severe complication of endoscopic biopsies in patients with EG. Physicians should be cautious with hematoma or ulceration, and consider it in such patients who undergo this procedure.</abstract><cop>United States</cop><pub>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>28906408</pmid><doi>10.1097/MD.0000000000008075</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-7974 |
| ispartof | Medicine (Baltimore), 2017-09, Vol.96 (37), p.e8075-e8075 |
| issn | 0025-7974 1536-5964 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5604677 |
| source | Wolters Kluwer Open Health; MEDLINE; DOAJ Directory of Open Access Journals; IngentaConnect Free/Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Clinical Case Report Duodenal Ulcer - diagnosis Duodenal Ulcer - etiology Endoscopy, Gastrointestinal - adverse effects Enteritis - diagnosis Enteritis - drug therapy Enteritis - pathology Eosinophilia - diagnosis Eosinophilia - drug therapy Eosinophilia - pathology Gastric Mucosa - pathology Gastritis - diagnosis Gastritis - drug therapy Gastritis - pathology Gastrointestinal Hemorrhage - diagnosis Gastrointestinal Hemorrhage - etiology Hematoma - diagnosis Hematoma - drug therapy Hematoma - etiology Humans Male Middle Aged Stomach Ulcer - diagnosis Stomach Ulcer - etiology |
| title | Eosinophilic gastroenteritis presenting as upper gastrointestinal hematoma and ulcers after endoscopic biopsy: A case report and literature review |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T20%3A33%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Eosinophilic%20gastroenteritis%20presenting%20as%20upper%20gastrointestinal%20hematoma%20and%20ulcers%20after%20endoscopic%20biopsy:%20A%20case%20report%20and%20literature%20review&rft.jtitle=Medicine%20(Baltimore)&rft.au=Chen,%20Biqin&rft.date=2017-09-01&rft.volume=96&rft.issue=37&rft.spage=e8075&rft.epage=e8075&rft.pages=e8075-e8075&rft.issn=0025-7974&rft.eissn=1536-5964&rft_id=info:doi/10.1097/MD.0000000000008075&rft_dat=%3Cproquest_pubme%3E1938849688%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1938849688&rft_id=info:pmid/28906408&rfr_iscdi=true |