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Case report
Pancreaticoduodenectomy for stricturing primary eosinophilic duodenitis
  1. Harry Jin1 and
  2. Kellee Slater2
  1. 1Department of Surgery, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
  2. 2Department of Surgery, Greenslopes Private Hospital, Brisbane, Queensland, Australia
  1. Correspondence to Professor Kellee Slater; slaterkellee{at}hotmail.com

Abstract

A 59-year-old woman was referred to a specialist gastroenterologist following a year of intermittent abdominal bloating and worsening reflux. In the month prior to referral, the patient developed intermittent large volume vomiting consisting of bile-stained undigested food. This was accompanied by a 10 kg weight loss. Imaging and endoscopic investigations showed a circumferential thickening of the second part of the duodenum. Biopsy showed non-specific inflammatory changes with marked eosinophilic infiltrates. A pancreaticoduodenectomy was performed. Histopathological analysis of the resection sample showed primary eosinophilic duodenitis with no evidence of malignancy. Immunological testing was only positive for coeliac disease and an infectious cause was never identified. The patient’s symptoms resolved following the surgery and she was discharged from surgical follow-up after 8 years of no further symptoms.

  • stomach and duodenum
  • gastrointestinal surgery
  • general surgery

https://doi.org/10.1136/bcr-2020-240101

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    Footnotes

    • Contributors HJ was responsible for analysis of the relevant literature, referencing, establishing the research protocol and drafting the final manuscript to be submitted. KS was responsible also for the above-mentioned processes and review of the final manuscript to be submitted.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Disclaimer Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.