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目的探讨嗜酸粒细胞性胃肠炎(eosinophilic gastroenteritis,EG)的诊断要点。方法回顾分析1例误诊为急性阑尾炎的EG的临床资料。结果本例因右下腹疼痛1个月,加重并稀糊状腹泻2 d入院。查体下腹拒按,查血白细胞及嗜酸粒细胞增高,B超检查示右下腹4.4 cm×2.2 cm大小低回声区及游离液性暗区。按慢性阑尾炎急性发作予急诊手术治疗。术后病理报告阑尾轻度慢性炎症,大网膜血管高度扩张伴广泛出血和脂肪组织急慢性炎症。确诊为EG,予相应治疗痊愈。结论临床医生接诊有腹痛、外周血中嗜酸粒细胞增多患者,要考虑到EG可能。
Objective To investigate the diagnostic criteria of eosinophilic gastroenteritis (EG). Methods The clinical data of one EGC misdiagnosed as acute appendicitis were retrospectively analyzed. The results of this case of right lower quadrant pain for 1 month, aggravating and diarrhea 2 d admission. Physical examination refused to press the lower abdomen, check the white blood cells and eosinophils increased, B-ultrasound showed lower right quadrant 4.4 cm × 2.2 cm size of the hypoechoic area and free liquid dark area. Emergency treatment of acute appendicitis by emergency surgery. Postoperative pathology reported mild chronic inflammation of the appendix, omental vasodilation with extensive hemorrhage and acute and chronic inflammation of adipose tissue. Confirmed as EG, to the appropriate treatment cured. Conclusion Clinicians admitted to have abdominal pain, peripheral blood eosinophilia patients, to take into account the possibility of EG.