Korean J Gastrointest Endosc > Volume 34(1); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(1): 51-55.
외상성 뇌하수체 기능 저하증과 동반된 호산구성 위장관염 1예
이석주 · 정우철 · 이강문 · 이보인 · 김영철 · 홍창균 · 장우임 · 양진모 · 최규용 · 정인식
가톨릭대학교 의과대학 내과학교실
A Case of Eosinophilic Gastroenteritis in a Patient with Traumatic Hypopituitarism
Seok Ju Lee, M.D., Woo Chul Chung, M.D., Kang Moon Lee, M.D., Bo In Lee, M.D., Young Chul Kim, M.D., Chang Kyun Hong, M.D., U-Im Chang, M.D.,Jin Mo Yang, M.D., Kyu Yong Choi, M.D. and In-Sik Chung, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Eosinophilic gastroenteritis is a rare gastrointestinal disorder that can present with a variety of symptoms such as abdominal pain, vomiting, diarrhea and ascites. It is characterized by eosinophilic infiltration of the gastrointestinal wall. Its incidence has increased recently. However, the etiology and pathogenesis of this disease are not well understood. The relationship between hypopituitarism and eosinophilic gastroenteritis is unclear. A corticotropin deficiency and eosinophilia are observed in approximately 90% of traumatic hypopituitarism. We encountered a case of eosinophilic gastroenteritis with eosinophilic ascites in a patient with traumatic hypopituitarism including central diabetes incipidus. Abdominal computed tomography showed diffuse wall thickening of the esophagus, stomach and small bowel with a large amount of ascites. Cytologic examination of ascites showed heavy dense infiltration of eosinophils. The patient was treated with corticosteroid and responded rapidly. Two months later, she was admitted again with a relapse of symptoms. We report this case with a brief review of the relevant literature.
Key Words: Eosinophilic gastroenteritis, Ascites, Hypopituitarism
주요어: 호산구성 위장관염, 복수, 뇌하수체 기능 저하증
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