Ｐｒｅｄｏｍｉｎａｎｔ　ｓｕｂｓｅｒｏｓａｌ　ｄｉｓｅａｓｅ　ｔｙｐｅの好酸球性胃腸炎を合併した骨盤腔ａｇｇｒｅｓｓｉｖｅ　ａｎｇｉｏｍｙｘｏｍａの１例

DOI Web Site 被引用文献3件 参考文献14件

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  • A Case of Pelvic Aggressive Angiomyxoma with Predominant Subserosal Disease Type Eosinophilic Gastroenteritis.

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We present a case of eosinophilic gastroenteritis with pelvic aggressive angiomyxoma. A 49-year-old man was seen at the visited our hospital because of abdominal pain. Blood laboratory data indicated elevation in WBC (14, 400/mm3), eosinophilia (34%) and high level of IgE (280U/ml). Thoracic CT scan revealed right pleural effusion and thickening of the esophageal wall. Abdominal CT scan revealed thickening of the small intestinal wall and ascites. Pelvic CT scan revealed a pelvic demarcated solid tumor 9cm in diameter. Pelvic magnetic resonance imaging visualized the tumor as low density area by T1 and high density by T2. Punctured pleural effusion and ascites revealed many eosinocyte. Needle biopsy of the pelvic tumor offered, no clus for diagnosis. A removal of the pelvic tumor and a biopsy of a part of the edematous small intestine were performed under general anesthesia. The pelvic tumor measured 17×13.5×8cm and the cut surface revealed a solid and gelatinous appearance. Histologically the pelvic tumor was diagnosed as aggressive angiomyxoma, and the lesion in the small intestine as eosinophlic enteritis of predominant subserosal layer disease type. No recurrence has been evidenced for 2 years and 4 months after the operation. Correlation between eosinophilic enteritis and aggressive angiomyxoma are still obscure because of absence of eosinophilic infiltration into the angiomyxoma. We consider that extremaly rare disease were simultaneously discovered. Further long-term follow-up would be mandatory for the patient.

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