Abstract
Eosinophilic cholecystitis (EC) is a rare disease that manifests in a similar manner to acute cholecystitis. We report the case of a 41-year-old man with a history of bronchial asthma (BA) and eosinophilic sinusitis (ES) who presented with epigastralgia. Enhanced computed tomography and ultrasonography findings suggested acute cholecystitis, and cholecystectomy was performed. However, epigastralgia persisted. Upper gastrointestinal endoscopy was performed to investigate the cause of epigastralgia, and revealed ulcers in the stomach and duodenum. In addition, laboratory test results revealed abnormally high levels of eosinophils. The patient was diagnosed with eosinophilic gastritis and cholecystitis and was treated with steroids and anti-ulcer drugs, which improved the epigastralgia. Although EC is a rare, it must be considered in patients with BA and ES who present with epigastralgia.
