Case Report
Copyright ©The Author(s) 2005. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 7, 2005; 11(33): 5248-5250
Published online Sep 7, 2005. doi: 10.3748/wjg.v11.i33.5248
Churg-Strauss syndrome complicated by colon erosion, acalculous cholecystitis and liver abscesses
Msahiro Suzuki, Kazuo Nabeshima, Mitsukazu Miyazaki, Hitoshi Yoshimura, Shinsei Tagawa, Katsuya Shiraki
Msahiro Suzuki, Kazuo Nabeshima, Mitsukazu Miyazaki, Hitoshi Yoshimura, Shinsei Tagawa, Internal Medicine, Mie Prefectual Shima Hospital, Japan
Katsuya Shiraki, First Department of Internal Medicine, University School of Medicine, Tsu 514-8507, Japan
Author contributions: All authors contributed equally to the work.
Correspondence to: Katsuya Shiraki, MD, PhD, First Department of Internal Medicine, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan. katsuyas@clin.medic.mie-u.ac.jp
Telephone: +81-592-31-5015 Fax: +81-592-31-5201
Received: December 17, 2004
Revised: February 15, 2005
Accepted: February 18, 2005
Published online: September 7, 2005
Abstract

We report on a case of Churg–Strauss syndrome (CSS) with colon erosion, cholecystitis and liver abscesses. A 21-year-old woman with a history of bronchial asthma for 3 years was admitted with a complaint of abdominal pain. Laboratory findings included remarkable leukocytosis and eosinophilia, and a colonoscopy revealed erosion from the rectum to the ileocecal region. In addition, a colonic biopsy specimen showed necrotizing vasculitis and marked eosinophilic infiltration. On the basis of the clinical features and histopathological findings, she was diagnosed with CSS and subsequently treated with oral prednisolone, after which the eosinophilia and abdominal pain disappeared. However, on the 15th d in hospital she developed cholecystitis and liver abscesses. She was therefore treated with antibiotics and as a result went into clinical remission.

Keywords: Churg-Strauss syndrome; Cholecystitis; Liver abscesses