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Eosinophilic gastroenteritis (EGE): a case of serious medical challenges
introduction
This article will take a closer look at eosinophilic gastroenteritis (EGE), a rare but concerning medical problem. By analyzing a real-world case in detail, we will discuss the clinical manifestations, diagnosis, treatment, and prognosis of EGE. This case illustrates the course of EGE and raises deep thinking about this rare disease.
Case presentation
History replay
Our case protagonist is a 64-year-old man who complains of recurrent abdominal pain with diarrhoea, accompanied by intermittent abdominal tenderness.
His past medical history does not document any conditions such as abdominal surgery, drug allergies, asthma, or allergic rhinitis. This group of symptoms indicates the possibility of EGE, but further testing is needed to confirm.
physical examination
The patient underwent a careful physical examination, and abdominal examination showed mild periumbilical tenderness, but bowel sounds were normal. These findings increase the basis for suspicion of EGE.
INVESTIGATIONS
To confirm the diagnosis, the patient undergoes a series of ancillary tests. Eosinophil count is elevated, which is one of the typical features of EGE. Further gastroscopy and colonoscopy revealed inflammation of the gastrointestinal tract, particularly ulcerative lesions of the intestinal wall of the whole colon, a finding that confirmed the diagnosis of EGE.
Diagnosis and treatment process
The patient's course of treatment
Based on the diagnosis of EGE, the patient first received symptomatic treatment and empiric hormonal therapy. This treatment has resulted in a significant improvement in symptoms and a significant improvement in the patient's quality of life. However, the tricks of fate did not stop there.
Emergency surgery
Just when the patient seemed to be getting better, he suddenly developed symptoms of intestinal obstruction. This emergency situation requires urgent surgical intervention or risk life. This turning point put the medical team in a state of tension and led to a deeper discussion of EGE.
Pathological examination
After the surgery, a pathological examination of the removed intestinal segment presented striking results. Bleeding, edema, ulceration, and necrosis of the intestinal wall are further confirmed by these lesions and eosinophil growth. The results have raised the attention of doctors to the dangers and complexity of the disease.
Summary of the case
Diagnosis and treatment of EGE
The history of this case highlights the multifaceted nature of EGE. The patient presented with abdominal pain, diarrhea, and abdominal tenderness, reflecting the widespread involvement of the gastrointestinal tract with EGE.
Initial symptomatic treatment and hormonal therapy are highly effective in improving symptoms, but the unpredictable nature of EGE complicates treatment. The need for acute surgery highlights the serious complications that can result from EGE.
appraise
After an in-depth analysis of this case, we can't help but think about the challenges of EGE. EGE is a rare disease with complex and diverse clinical manifestations that are not easily recognized by the general practitioner. However, there are still challenges to the diagnosis and treatment of EGE. Acute surgery for patients needs to be a cause for alarm, and it also prompts us to study the disease more deeply to improve diagnosis and treatment.