Korean J Pancreas Biliary Tract.  2023 Oct;28(4):126-130. 10.15279/kpba.2023.28.4.126.

Acute Pancreatitis Associated with Eosinophilic Gastroduodenitis: A Case Report

Affiliations
  • 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
  • 2Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea

Abstract

Acute pancreatitis caused by eosinophilic gastroenteritis is a rare disease, and little has been reported so far. Diagnosing eosinophilic gastroenteritis is difficult because the symptoms and laboratory findings are not specific. We report a rare case of eosinophilic gastroenteritis related to acute pancreatitis as a possible cause of idiopathic acute pancreatitis. A 61-year-old man visited the hospital complaining of epigastric pain. Although no pancreatic abnormalities were confirmed on imaging studies, the patient showed hyperamylasemia and hyperlipasemia. Serum eosinophil fractions were initially normal. However, they were elevated on follow-up examinations, and a large number of eosinophils were observed in the biopsies of the stomach and duodenum, which led to the diagnosis of eosinophilic gastroduodenitis related to acute pancreatitis.

Keyword

Eosinophilic enteropathy; Pancreatitis; Hyperamylasemia; 호산구성 장염; 췌장염; 고아밀라아제 혈증
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