[A case of eosinophilic gastroenteritis caused after the use of Seprafilm®]

Nihon Shokakibyo Gakkai Zasshi. 2022;119(5):459-465. doi: 10.11405/nisshoshi.119.459.
[Article in Japanese]

Abstract

Eosinophilic gastroenteritis is a fairly uncommon condition. It has been suggested that allergic reactions may have played a role in the development of this illness. The case of a 66-year-old woman who had a total hysterectomy due to a right ovarian tumor is described here. At this operation, a sodium hyaluronate carboxymethylcellulose bioresorbable membrane (Seprafilm®) was used. She was admitted to our hospital 47 days after the operation with abdominal pain. Laboratory data indicated elevated WBC (29450/μl) and eosinophilia (69.2%), and CT scan showed thickening of intestinal wall and ascites around there. Ascites cytology showed a significant increase of eosinophils (94.0%). She began taking oral steroids after being diagnosed with eosinophilic gastroenteritis, and her symptoms improved quickly. Despite the fact that Seprafilm® was thought to be a reliable and safe tool, it was suggested that a foreign body reaction to Seprafilm® could lead to eosinophilic gastroenteritis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Ascites
  • Enteritis
  • Eosinophilia* / diagnosis
  • Eosinophilia* / etiology
  • Female
  • Gastritis
  • Gastroenteritis* / diagnosis
  • Gastroenteritis* / etiology
  • Gastroenteritis* / pathology
  • Humans
  • Hyaluronic Acid

Substances

  • Seprafilm
  • Hyaluronic Acid

Supplementary concepts

  • Eosinophilic enteropathy