2020 Volume 61 Issue 9 Pages 470-477
A 58-year-old male was referred by a nearby doctor for jaundice, liver dysfunction, and abdominal pain. Blood sampling suggested the presence of jaundice, hepatic dysfunction, and increased eosinophil count. Computed tomography imaging revealed irregular-shaped low-density areas in the liver and edematous thickening of the duodenal bulb. Upper gastrointestinal endoscopy noted erosion and mucosal inflammation in the duodenal bulb. Endoscopic biopsy and biopsy of the low-density area of the liver revealed no malignancy and marked infiltration of eosinophils. This case fulfilled the diagnostic criteria for eosinophilic gastroenteritis. Low-density areas of the liver can also be diagnosed as suggesting an eosinophilic inflammatory mass. Steroid treatment was started. Blood collection and imaging findings improved several days after the start of treatment. Since then, steroid tapering has progressed and the patient is currently being managed on an outpatient basis with prednisolone 5 mg/day. Two years after onset, no recurrence has occurred and the imaging findings have normalized.
