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Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Case Report

Acute Pancreatitis Obstructed by a “Stone” as the First Manifestation of Eosinophilic Gastroenteritis in AIDS: A Case Report

Author(s): Fulong Zhang, Jing Xu, Yuandong Zhu*, Shurong Chen, Yan Shi, Zongyuan Zhan, Jingwei Zhou, Yuhong Jiang and Hai Wang

Volume 20, 2024

Published on: 02 January, 2024

Article ID: e15734056255617 Pages: 7

DOI: 10.2174/0115734056255617231114075914

open_access

Abstract

Background: Acquired immune deficiency syndrome (AIDS) associated with eosinophilic gastroenteritis is rare. We report a case of duodenal “stone” inducing acute pancreatitis with eosinophilic gastroduodenitis in an AIDS patient.

Case Summary: A 73-year-old female AIDS patient came to the hospital with recurrent abdominal pain for 20 days. Computed tomography (CT) showed pancreatitis with exudation and a high-density shadow under the gastric antrum. Gastroscopy showed that the descending part of the duodenum was blocked by a “stone”. The mucosa of the duodenum was rough, and a red polyp was found on the gastric body. The pathology result was chronic inflammation with eosinophilic granulocytes in the duodenal mucosa and gastric body polyp.

Conclusion: When AIDS patients suffer acute pancreatitis, the possibility of eosinophilic gastroenteritis needs to be considered to enable the patient to accept timely treatment.

Keywords: Acute pancreatitis, Eosinophilic gastroenteritis, Acquired immune deficiency syndrome, Stone, Manifestation, Case report. Article


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