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Eosinophilic
Cholecystitis, with a Review of the Literature.
Annals of Clinical & Laboratory Science 37:182-185 (2007).
Case 57:
Eosinophilic Cholangiopathy.Radiology
2003;227:107-112.)
Eosinophilic Cholecystitis: A Case Report:
Internet Journal of Surgery.(ispub.com)
Eosinophilic cholecystitis as a rare manifestation of visceral larva
migrans.World
J Gastroenterol. 2007 Dec 7;13(45):6119.
Eosinophilic cholecystitis is an infrequent form of cholecystitis. The
etiology of eosinophilic cholecystitis is still obscure, and it is
sometimes accompanied with several complications, but a simultaneous
onset with pericarditis is very rare. We would like to make an
alternative interpretation of our recent report "Kaji K, Yoshiji H,
Yoshikawa M, Yamazaki M, Ikenaka Y, Noguchi R, Sawai M, Ishikawa M,
Mashitani T, Kitade M, Kawaratani H, Uemura M, Yamao J, Fujimoto M,
Mitoro A, Toyohara M, Yoshida M, Fukui H. Eosinophilic cholecystitis
along with pericarditis caused by Ascaris lumbricoides.
Eosinophilic
cholecystitis along with pericarditis caused by Ascaris lumbricoides:
a case report.World
J Gastroenterol. 2007;13(27):3760-2.
Although the
etiology of eosinophilic cholecystitis is still obscure, the
postulated causes include allergies, parasites, hypereosinophilic
syndrome, and eosinophilic gastroenteritis. It is sometimes
accompanied by several complications, but a simultaneous onset with
pericarditis is very rare. A 28-year-old woman complained of acute
right hypocondrial pain and dyspnea associated with systemic eruption.
Several imaging modalities revealed acute cholecystitis and
pericarditis with massive pericardial effusion. A marked peripheral
blood eosinophilia was observed, and the eruption was diagnosed as
urticaria. Her serum had a high titer of antibody against Ascaris
lumbricoides. Treatment with albendazole drastically improved all
clinical manifestations along with normalization of the imaging
features and eosinophilia. We report herein a rare case of
simultaneous onset of acute cholecystitis and pericarditis associated
with a marked eosinophilia caused by parasitic infection.
Eosinophilic
cholecystitis, with a review of the literature.Ann
Clin Lab Sci. 2007 Spring;37(2):182-5.
Eosinophilic
cholecystitis (EC) is a rare entity that presents in a manner
comparable to acute cholecystitis. The diagnosis is based on classical
symptoms of cholecystitis with the presence of >90% eosinophilic
infiltration within the gallbladder. We report the case of a 29-yr-old
man who presented with unremitting right upper quadrant pain, chills,
and loss of appetite. After confirmation of the diagnosis with
ultrasound and hepatobiliary scan (HIDA), a cholecystectomy was
performed. Pathologic examination of the excised gallbladder
demonstrated submucosal infiltration with eosinophils, consistent with
EC. Peripheral eosinophilia was not observed; the subject's blood
eosinophil count did not exceed 3% during the period of observation.
The patient was discharged with no further symptoms. Cases of EC have
been infrequently reported since its original description in 1949. EC
has been reported alone or in combination with manifestations such as
eosinophilic cholangitis, hypereosinophilic syndromes (HES), and
parasitic infestations. The patient described herein gave no
indications of such previously suggested causes of EC. This report
illustrates an authentic case of idiopathic EC.
Clonorchiasis-associated
perforated eosinophilic cholecystitis.Am
J Trop Med Hyg. 2007 Feb;76(2):396-8.
Clonorchiasis,
a disease caused by infection with Clonorchis sinensis, is endemic in
the Far East. Cholelithiasis, pyogenic cholangitis, cholecystitis, and
biliary tract obstruction are common complications of chronic
infection. Although cholecystitis caused by clonorchiasis is common,
it is rarely reported as resulting from eosinophilic infiltration. We
report a rare case of clonorchiasis-associated perforated eosinophilic
cholecystitis and review the relevant literature.
Eosinophilic
cholecystitis as a possible late manifestation of the
eosinophilia-myalgia syndrome.Clin
Rheumatol. 2000;19(6):470-2.
We describe a
case of acute acalculous cholecystitis occurring in a 43-year-old
woman with a history of the eosinophilia-myalgia syndrome, associated
with the ingestion of 1-tryptophan. The patient underwent a
laparoscopic cholecystectomy and subsequent histological examination
of the gallbladder revealed an infiltrate predominantly of eosinophils,
suggesting a possible relationship to the underlying condition. This
may represent a late complication of the eosinophilia-myalgia
syndrome--such an association has not previously been reported in the
literature. The gastrointestinal and hepatic complications of this
syndrome are discussed.
Eosinophilic
cholecystitis: an infrequent cause of cholecystectomy.
Gastroenterol Hepatol. 1997
Jan;20(1):21-3.
Eosinophilic
cholecystitis is a rare form of cholecystitis. Histologically, it is
characterized by a dense, transmural leukocyte infiltrate composed of
more than 90% eosinophils. The etiology remains obscure, although it
had been associated with allergies, parasites, hypereosinophilic
syndromes, eosinophilic gastroenteritis, cholelithiasis, and
acalculous cholecystitis. Here we report an eosinophilic cholecystitis
gallstone-associated case, the only one with this histopathologic
diagnosis among 5,537 cholecystectomies made in our hospital in the
last years.
Deposits of eosinophil granule proteins in eosinophilic cholecystitis
and eosinophilic colitis associated with hypereosinophilic syndrome.Dig
Dis Sci. 1996 Feb;41(2):282-8.
A case of
hypereosinophilic syndrome with eosinophilic colitis, eosinophilic
cholecystitis, and increased serum levels of interleukin-5 (IL-5) and
soluble interleukin-2 receptor (sIL-2R) is reported.
Immunohistochemical studies of cholecystectomy and colon biopsy
specimens with monoclonal antibodies, which are specific for activated
eosinophils, secreted eosinophil cationic protein (ECP) and for major
basic protein (MBP), demonstrated the presence of numerous activated
eosinophils, secretion of ECP, and deposition of MBP in areas of
tissue damage. These findings suggest that in eosinophilic
cholecystitis and eosinophilic colitis, activated eosinophils
infiltrate and degranulate in each tissue, releasing eosinophil
granule proteins that produce tissue damage.
Eosinophilic
cholecystitis associated with rupture of hepatic hydatid cyst of the
bile ducts.
Rev Esp Enferm Dig. 1995 Dec;87(12):899-902.
Eosinophilic
cholecystitis is a rare finding characterized by an inflammatory
infiltrate composed primarily of eosinophils. We report a case of
eosinophilic cholecystitis associated with hepatic hydatic cyst
ruptured into the biliary tract. The release of hydatid cyst content
into the biliary tract may have induced a hypersensitivity reaction
with numerous eosinophils in the gallbladder wall.
Eosinophilic and
lymphoeosinophilic cholecystitis.Am
J Surg Pathol. 1993 May;17(5):497-501.
Eosinophilic
cholecystitis (EC) is an infrequent and poorly understood inflammatory
condition of the gallbladder. First described in 1949, EC may be
defined as an inflammatory condition of the gallbladder in which the
inflammatory infiltrate is composed predominately of eosinophils so
that their presence clearly overshadows the presence of any other
inflammatory cell component. In the few reports that describe EC, it
has been described in association with acalculous cholecystitis, with
subacute cholecystitis lasting 2 to 3 weeks and with several forms of
drug therapy. This retrospective clinicopathologic study reviewed the
histopathologic features of 217 consecutive cholecystectomy specimens
with special clinical reference to the timing of gallbladder removal
after symptoms, previous drug therapy, systemic infection, and the
presence of cholelithiasis. Pathologically, 48 of these cases (22.2%)
contained eosinophils to some degree. Eosinophilic cholecystitis was
diagnosed in 14 (6.4%) of the specimens, and another 14 (6.4%)
specimens demonstrated substantial numbers of eosinophils but also had
other types of inflammatory cells in abundance, including neutrophils
and lymphocytes. Of the eight patients with acalculous cholecystitis,
six had substantial eosinophils in their gallbladders, whereas the
other two patients had no eosinophils. In this study, EC was more
prevalent than in other reported series, and it did not show any
association with the timing of gallbladder removal after initial
symptoms, drug therapy, or other preexisting medical conditions.
Eosinophilic cholecystitis is more common than previously recognized
and probably represents a subgroup of patients with a unique or
hypersensitivity type of inflammatory response to altered bile. Large
numbers of eosinophils in the inflammatory infiltrate occurred three
times more commonly in patients with acalculous cholecystitis than in
patients with cholelithiasis.
Acute eosinophilic
cholecystitis in association with hepatic echinococcosis.
Gastroenterology. 1979 Oct;77(4 Pt 1):758-60.
A patient with
acute eosinophilic cholecystitis is presented. This was in association
with hepatic hydatid disease and was the presenting feature of that
disease.
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