Sonographic detection of Menetrier's disease in children

✍ Scribed by Stuart S. Goldwag; Richard D. Bellah; Kenneth J. Ward; Marvin S. Kogutt

• Publisher: John Wiley and Sons
• Year: 1994
• Tongue: English
• Weight: 501 KB
• Volume: 22
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/jcu.1870220910

✦ Synopsis

Menetrier's disease is rare in adults and even more uncommon in children. It is a protein-losing hypertrophic gastropathy which is usually confirmed by an upper gastrointestinal (UGI) series and endoscopic biopsy. We report two pediatric cases in which screening sonographic studies of the upper abdomen detected thickening of gastric mucosal folds which led to the diagnosis of Menetrier's disease.

CASE REPORTS

Case A

A 2-year-old black girl presented with a 2-week history of vomiting, intermittent fever, nasal discharge, and poor appetite. Her past medical history was significant for multiple episodes of otitis media. She was afebrile and had normal vital signs. Physical examination revealed a lethargic child with clear nasal discharge, erythematous tympanic membranes bilaterally, but otherwise unremarkable findings. Laboratory findings were