Author:
Lamiroy T,Vogelaers D,Poortmans P.J.,Van Dorpe J
Abstract
A 63-year old female patient with a medical history of
hypereosinophilic syndrome with neurological and pulmonary
involvement presented for a routine follow-up. The patient was
asymptomatic but a routine scheduled ultrasound showed a
gallbladder polyp of 19mm. One month later this polyp had grown
to 36 mm. On magnetic resonance imaging of the liver there was a
suspicion of gallbladder cancer and for this reason cholecystectomy
was performed. Pathology however showed eosinophilic infiltration.
Serum analysis showed an increase in her eosinophil count.
The diagnosis of hypereosinophilic syndrome with eosinophilic
infiltration of the gallbladder was made. The dose of corticosteroids
was augmented and she recovered completely post-operatively with
no residual flares of other organ damage during follow up.
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