Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Sonographic detection of Menetrier's disease in children

Sonographic detection of Menetrier's disease in children Stuart S. Goldwag, MD,* Richard D. Bellah, MD,P Kenneth J. Ward, MD,f and Marvin S. Kogutt, MD* Menetrier’s disease is rare in adults and even more uncommon in children. It is a protein-losing hypertrophic gastropathy which is usually confirmed by an upper gastrointestinal (UGI) series and endoscopic biopsy. We report two pediatric cases in which screening sonographic studies of the upper abdomen detected thickening of gastric mucosal folds which led t o the diagnosis of Menetrier’s disease. CASE REPORTS Case A A 2-year-old black girl presented with a 2-week history of vomiting, intermittent fever, nasal discharge, and poor appetite. Her past medical history was significant for multiple episodes of otitis media. She was afebrile and had normal vital signs. Physical examination revealed a lethargic child with clear nasal discharge, erythematous tympanic membranes bilaterally, but otherwise unremarkable findings. Laboratory findings were significant for mild hypoproteinemia (T.P. 4.7 g/dl; nl 5.5-8.0 g/dl) and hypoalbuminemia (Alb 2.7 g/dl; nl 3.0-5.0 g/dl) and leukocytosis (WBC 26.6: 41S, 6B, 31L, 15M, OE). Urinalysis was normal. Abdominal sonography revealed gastric wall thickening with prominent mucosal folds in the gastric body (Figure 1A). A UGI series was performed which showed large, thickened mucosal folds primarily http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Sonographic detection of Menetrier's disease in children

Loading next page...
 
/lp/wiley/sonographic-detection-of-menetrier-s-disease-in-children-QVa0en3CeU

References (8)

Publisher
Wiley
Copyright
Copyright © 1994 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.1870220910
Publisher site
See Article on Publisher Site

Abstract

Stuart S. Goldwag, MD,* Richard D. Bellah, MD,P Kenneth J. Ward, MD,f and Marvin S. Kogutt, MD* Menetrier’s disease is rare in adults and even more uncommon in children. It is a protein-losing hypertrophic gastropathy which is usually confirmed by an upper gastrointestinal (UGI) series and endoscopic biopsy. We report two pediatric cases in which screening sonographic studies of the upper abdomen detected thickening of gastric mucosal folds which led t o the diagnosis of Menetrier’s disease. CASE REPORTS Case A A 2-year-old black girl presented with a 2-week history of vomiting, intermittent fever, nasal discharge, and poor appetite. Her past medical history was significant for multiple episodes of otitis media. She was afebrile and had normal vital signs. Physical examination revealed a lethargic child with clear nasal discharge, erythematous tympanic membranes bilaterally, but otherwise unremarkable findings. Laboratory findings were significant for mild hypoproteinemia (T.P. 4.7 g/dl; nl 5.5-8.0 g/dl) and hypoalbuminemia (Alb 2.7 g/dl; nl 3.0-5.0 g/dl) and leukocytosis (WBC 26.6: 41S, 6B, 31L, 15M, OE). Urinalysis was normal. Abdominal sonography revealed gastric wall thickening with prominent mucosal folds in the gastric body (Figure 1A). A UGI series was performed which showed large, thickened mucosal folds primarily

Journal

Journal of Clinical UltrasoundWiley

Published: Nov 1, 1994

There are no references for this article.