PMID- 32850245
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 12
IP  - 7
DP  - 2020 Jul 24
TI  - Solitary Duodenal Ulcer Causing Biliary Obstruction Requiring Rendezvous 
      Procedure in a Pediatric Patient With Eosinophilic Gastroenteritis.
PG  - e9377
LID - 10.7759/cureus.9377 [doi]
LID - e9377
AB  - Eosinophilic gastroenteritis (EGE) is an uncommon disease characterized by immune 
      cell-mediated inflammation of the gastrointestinal (GI) tract resulting in vague 
      abdominal symptoms, most commonly nausea, vomiting, diarrhea, and abdominal pain. 
      We report the case of a 16-year-old male presenting with a six-week history of 
      progressive pruritus, jaundice, fatigue, abdominal pain, acholic stools, and 
      dark-colored urine. This patient was diagnosed via endoscopy with biliary 
      obstruction caused by a large, solitary, duodenal ulcer secondary to EGE. This is 
      a severe complication of EGE and to our knowledge, this is the first reported 
      case of biliary obstruction caused by a duodenal ulcer in a pediatric patient 
      with EGE. Additionally, we describe the first pediatric combined 
      percutaneous-endoscopic rendezvous technique after failed therapeutic endoscopic 
      retrograde cholangiography (ERCP) to relieve the biliary obstruction.
CI  - Copyright (c) 2020, Peck et al.
FAU - Peck, Jacquelin
AU  - Peck J
AD  - Anesthesiology, Mount Sinai Medical Center, Miami Beach, USA.
FAU - Kimsey, Kathryn M
AU  - Kimsey KM
AD  - Gastroenterology, Johns Hopkins All Children's Hospital, St. Petersburg, USA.
FAU - Harris, Evan
AU  - Harris E
AD  - Vascular and Interventional Radiology, Center for Vien Restoration, Glastonbury, 
      USA.
FAU - Monforte, Hector
AU  - Monforte H
AD  - Pathology, Johns Hopkins All Children's Hospital, St. Petersburg, USA.
FAU - Wilsey, Michael Jr
AU  - Wilsey M Jr
AD  - Gastroenterology, Johns Hopkins All Children's Hospital, St. Petersburg, USA.
AD  - Pediatrics, University of South Florida College of Medicine, Tampa, USA.
LA  - eng
PT  - Case Reports
DEP - 20200724
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC7444993
OTO - NOTNLM
OT  - biliary obstruction
OT  - combined percutaneous-endoscopic rendezvous technique
OT  - endoscopic retrograde cholangiopancreatography
OT  - endoscopy
OT  - eosinophilic gastroenteritis
OT  - gastroenterology
OT  - pediatrics
COIS- The authors have declared that no competing interests exist.
EDAT- 2020/08/28 06:00
MHDA- 2020/08/28 06:01
PMCR- 2020/07/24
CRDT- 2020/08/28 06:00
PHST- 2020/08/28 06:00 [entrez]
PHST- 2020/08/28 06:00 [pubmed]
PHST- 2020/08/28 06:01 [medline]
PHST- 2020/07/24 00:00 [pmc-release]
AID - 10.7759/cureus.9377 [doi]
PST - epublish
SO  - Cureus. 2020 Jul 24;12(7):e9377. doi: 10.7759/cureus.9377.