Collagenous gastritis in a young Chinese woman:A case report  

作　　者：Qing-Hua Zheng Jie Hu Xiao-Yuan Yi Xu-Hua Xiao Li-Na Zhou Bin Li Xiao-Tong Bo 

机构地区：[1]Department of Gastroenterology,Affiliated Hospital of Guilin Medical University,Guilin 541001,Guangxi Province,China

出　　处：《World Journal of Gastroenterology》2022年第41期5993-6001,共9页世界胃肠病学杂志（英文版）

摘　　要：BACKGROUND Collagenous gastritis(CG) is a rare condition whose pathogenesis may be related to immune abnormalities. We report a case of CG from China.CASE SUMMARY A 24-year-old woman presented with recurrent abdominal distension and discomfort for 3 mo. Upper gastrointestinal endoscopy found diffuse nodular elevation-depression changes in the mucosa of the entire gastric corpus.Endoscopic ultrasound showed predominant involvement of the lamina propria and submucosa, and computed tomography imaging showed mild enhancement of the gastric wall. Pathological histology revealed that the thickness of the subepithelial collagen band was about 40 μm, and the Masson trichrome staining result was positive and the Congo red staining result was negative. This case is consistent with the child-adolescent type of CG.CONCLUSION Serum pepsinogen Ⅰ, pepsinogen Ⅱ, pepsinogen Ⅰ/Ⅱ ratio, and gastrin-17 may be potential non-invasive monitoring markers. Currently, treatments for CG vary,and the likely prognosis is unknown. Individual cases of gastric cancer in patients with CG have been reported.

关 键 词：Endoscopy Endoscopic ultrasound Collagenous gastritis Hematoxylin and eosin staining Masson’s trichrome staining Case report 

分 类 号：R573.3[医药卫生—消化系统]