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

Fulong Zhang; Jing Xu; Yuandong Zhu; Shurong Chen; Yan Shi; Zongyuan Zhan; Jingwei Zhou; Yuhong Jiang; Hai Wang

doi:10.2174/0115734056255617231114075914

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

Curr Med Imaging. 2024 Jan 2. doi: 10.2174/0115734056255617231114075914. Online ahead of print.

Authors

Fulong Zhang¹, Jing Xu¹, Yuandong Zhu¹, Shurong Chen¹, Yan Shi¹, Zongyuan Zhan¹, Jingwei Zhou¹, Yuhong Jiang¹, Hai Wang¹

Affiliation

¹ Department of Gastroenterology, Hang Zhou Xixi Hospital, 2 Hengbu Street, Xihu District, Hang Zhou 310032, Zhejiang, Province, China.

PMID: 38254320
DOI: 10.2174/0115734056255617231114075914

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: Acquired immune deficiency syndrome; Acute pancreatitis; Case report; Eosinophilic gastroenteritis; Manifestation; Stone.

Publication types

Case Reports