Collagenous Gastritis: A Rare Cause of Hemorrhagic Shock.

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-07-07 eCollection Date: 2025-07-01 DOI:10.14309/crj.0000000000001762

Brenton G Davis, Max L Goldman, Sarah C Cherny, Angela Y Lam, Jeffrey M Fox

引用次数: 0

Abstract

Collagenous gastritis (CG) is a rare condition comprised 2 phenotypes-pediatric and adult onset. While adult CG often presents with diarrhea, pediatric CG more often manifests with iron deficiency anemia and abdominal pain. Of the relatively few cases described since discovery, treatment has involved oral iron, proton-pump inhibitors, and close follow-up. While 22.5% of pediatric CG involves some form of gastrointestinal bleeding, massive hemorrhage resulting from CG has not previously been described. We present a case of refractory CG diagnosed on endoscopy after hemorrhagic shock due to an acute gastrointestinal bleed requiring both initial and off-label step-up therapy.

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胶原性胃炎：一种罕见的失血性休克原因。

胶原性胃炎（CG）是一种罕见的疾病，包括两种表型-儿童和成人发病。成人CG通常表现为腹泻，而儿童CG更常表现为缺铁性贫血和腹痛。自发现以来，在相对较少的病例中，治疗涉及口服铁，质子泵抑制剂和密切随访。虽然22.5%的儿科CG涉及某种形式的胃肠道出血，但CG引起的大出血以前没有被描述过。我们报告了一个难治性CG病例，在内窥镜诊断出失血性休克后，由于急性胃肠道出血，需要初始和非适应症强化治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.