Skip to main content
Top
Published in: European Radiology 6/2003

01-12-2003 | Pediatric

High-resolution real-time compound ultrasound imaging of transient protein-losing gastropathy of childhood

Authors: Maria-Helena Smet, Elvier Mussen, Nadine Ectors, Luc Breysem

Published in: European Radiology | Special Issue 6/2003

Login to get access

Abstract

We report the case of a 1.5-year-old girl with transient protein-losing gastropathy with hypertrophic gastric folds (PLGH). The diagnosis of PLGH was made by abdominal ultrasound (US) and not by an upper gastrointestinal (UGI) study as reported in many previous publications. Real-time compound ultrasound imaging showed in high detail the echogenic thickening of the mucosal gastric layer and associated hyperaemia on colour Doppler US. These ultrasonic findings highly correlated with the endoscopic US findings and microscopic changes of the gastric wall in PLGH. An awareness of the high-resolution abdominal ultrasound appearances of PLGH may facilitate earlier diagnosis and obviate the need for an upper GI contrast series.
Literature
1.
go back to reference Goldwag S, Bellah R, Ward K, Kogutt M (1994) Sonographic detection of Ménétrier’s disease in children. J Clin Ultrasound 22:567–570PubMed Goldwag S, Bellah R, Ward K, Kogutt M (1994) Sonographic detection of Ménétrier’s disease in children. J Clin Ultrasound 22:567–570PubMed
2.
go back to reference Takaya J, Kawamura Y, Kino M, Kawashima Y, Yamamoto A, Kobayashi Y (1997) Ménétrier’s disease evaluated serially by abdominal ultrasonography. Pediatr Radiol 27:178–180CrossRefPubMed Takaya J, Kawamura Y, Kino M, Kawashima Y, Yamamoto A, Kobayashi Y (1997) Ménétrier’s disease evaluated serially by abdominal ultrasonography. Pediatr Radiol 27:178–180CrossRefPubMed
3.
go back to reference Zenkl B, Zieger M (1988) Ménétrier disease in a child of 18 months: diagnosis by ultrasonography. Eur J Pediatr 147:330–331PubMed Zenkl B, Zieger M (1988) Ménétrier disease in a child of 18 months: diagnosis by ultrasonography. Eur J Pediatr 147:330–331PubMed
4.
go back to reference Stringer B (2000) Pediatric gastrointestinal imaging and intervention. B.C. Decker, Hamilton, London, pp 286–287 Stringer B (2000) Pediatric gastrointestinal imaging and intervention. B.C. Decker, Hamilton, London, pp 286–287
5.
go back to reference Kindermann A, Koletzko S (1998) Protein-losing giant fold gastritis in childhood: a case report and differentiation from Menetrier disease of adulthood. Z Gastroenterol 36:165–171PubMed Kindermann A, Koletzko S (1998) Protein-losing giant fold gastritis in childhood: a case report and differentiation from Menetrier disease of adulthood. Z Gastroenterol 36:165–171PubMed
6.
go back to reference Occena R, Taylor S, Robinson C, Sokol R (1993) Association of cytomegalovirus with Ménétrier’s disease in childhood: report of two new cases with a review of literature. J Pediatr Gastroenterol Nutr 17:217–224PubMed Occena R, Taylor S, Robinson C, Sokol R (1993) Association of cytomegalovirus with Ménétrier’s disease in childhood: report of two new cases with a review of literature. J Pediatr Gastroenterol Nutr 17:217–224PubMed
7.
go back to reference Eisenstat D, Griffiths A, Cutz E, Petric M, Drumm B (1995) Acute cytomegalovirus infection in a child with Ménétrier’s disease. Gastroenterology 109:592–595PubMed Eisenstat D, Griffiths A, Cutz E, Petric M, Drumm B (1995) Acute cytomegalovirus infection in a child with Ménétrier’s disease. Gastroenterology 109:592–595PubMed
8.
go back to reference Gassner I, Strasser K, Bart G, Maurer H (1990) Sonographic appearance of Ménétrier’s disease in a child. J Ultrasound Med 9:537–539PubMed Gassner I, Strasser K, Bart G, Maurer H (1990) Sonographic appearance of Ménétrier’s disease in a child. J Ultrasound Med 9:537–539PubMed
9.
go back to reference Bar-Ziv J, Barki Y, Weizman Z, Urkin J (1988) Transient protein-losing gastropthy (Menetrier’s disease) in childhood. Pediatr Radiol 18:82–84PubMed Bar-Ziv J, Barki Y, Weizman Z, Urkin J (1988) Transient protein-losing gastropthy (Menetrier’s disease) in childhood. Pediatr Radiol 18:82–84PubMed
10.
go back to reference Roussel M, Dupont C, Sidibe T, Andre C, Barbet P, Badoual J (1990) Benign hypertrophic gastritis associated with cytomegalovirus infection. Arch Fr Pediatr 47:271–273PubMed Roussel M, Dupont C, Sidibe T, Andre C, Barbet P, Badoual J (1990) Benign hypertrophic gastritis associated with cytomegalovirus infection. Arch Fr Pediatr 47:271–273PubMed
11.
go back to reference Chouraqui J, Roy C, Brochu P, Gregoire H, Morin C, Weber A (1981) Ménétrier’s disease in children: report of a patient and review of sixteen other cases. Gastroenterology 80:1042–1047PubMed Chouraqui J, Roy C, Brochu P, Gregoire H, Morin C, Weber A (1981) Ménétrier’s disease in children: report of a patient and review of sixteen other cases. Gastroenterology 80:1042–1047PubMed
12.
go back to reference Stringer DA, Daneman A, Brunelle F, Ward K, Martin DJ (1986) Sonography of the normal and abnormal stomach (excluding hypertrophic pyloric stenosis in children). J Ultrasound Med 5:183–188PubMed Stringer DA, Daneman A, Brunelle F, Ward K, Martin DJ (1986) Sonography of the normal and abnormal stomach (excluding hypertrophic pyloric stenosis in children). J Ultrasound Med 5:183–188PubMed
13.
go back to reference Fishbein M, Kirschner B, Gonzales-Vallina R, Ben-Ami T, Lee P, Weisenberg E, Schmidt-Sommerfeld E (1992) Menetrier’s disease associated with formula protein allergy and small intestinal injury in an infant. Gastroenterology 103:1664–1668PubMed Fishbein M, Kirschner B, Gonzales-Vallina R, Ben-Ami T, Lee P, Weisenberg E, Schmidt-Sommerfeld E (1992) Menetrier’s disease associated with formula protein allergy and small intestinal injury in an infant. Gastroenterology 103:1664–1668PubMed
14.
go back to reference Lim JH, Jeong YM (1994) Sonography of the stomach: an in vitro study to determine the anatomic cause of inner hyperechoic and hypoechoic layers of the gastric wall. Am J Roentgenol 162:335–338 Lim JH, Jeong YM (1994) Sonography of the stomach: an in vitro study to determine the anatomic cause of inner hyperechoic and hypoechoic layers of the gastric wall. Am J Roentgenol 162:335–338
15.
go back to reference Bolondi L, Casanova P, Santi V, Caletti G, Barbara L, Labo G (1986) The sonographic appearance of the normal gastric wall: an in vitro study. Ultrasound Med Biol 12:991–998PubMed Bolondi L, Casanova P, Santi V, Caletti G, Barbara L, Labo G (1986) The sonographic appearance of the normal gastric wall: an in vitro study. Ultrasound Med Biol 12:991–998PubMed
16.
go back to reference Angtuaco E, Klein S, Wood B (1993) Radiological case of the month: Menetrier’s disease. Am J Dis Child 147:687–688PubMed Angtuaco E, Klein S, Wood B (1993) Radiological case of the month: Menetrier’s disease. Am J Dis Child 147:687–688PubMed
17.
go back to reference Lin D, Nazarian L, O’Kane P, McShane J, Parker L, Merritt C (2002) Advantages of real-time spatial compound sonography of the musculoskeletal system vs conventional sonography. Am J Roentgenol 179:1629–1631 Lin D, Nazarian L, O’Kane P, McShane J, Parker L, Merritt C (2002) Advantages of real-time spatial compound sonography of the musculoskeletal system vs conventional sonography. Am J Roentgenol 179:1629–1631
18.
go back to reference Entrekin R, Porter B, Sillesen H, Wong A, Cooperberg P, Fix C (2001) Real-time spatial compound imaging: application to breast, vascular, and musculoskeletal ultrasound. Semin Ultrasound CT MR 22:50–64PubMed Entrekin R, Porter B, Sillesen H, Wong A, Cooperberg P, Fix C (2001) Real-time spatial compound imaging: application to breast, vascular, and musculoskeletal ultrasound. Semin Ultrasound CT MR 22:50–64PubMed
19.
go back to reference Hizawa K, Kawasaki M, Yao T, Aoyagi K, Suekane H, Kawakubo K, Fujishima M (2000) Endoscopic ultrasound features of protein-losing gastropathy with hypertrophic gastric folds. Endoscopy 32:394–397CrossRefPubMed Hizawa K, Kawasaki M, Yao T, Aoyagi K, Suekane H, Kawakubo K, Fujishima M (2000) Endoscopic ultrasound features of protein-losing gastropathy with hypertrophic gastric folds. Endoscopy 32:394–397CrossRefPubMed
20.
go back to reference Buscarini E, Stasi M, Rossi S, Silva M, Giangregorio F, Adriano Z, Buscarini L (1999) Endosonographic diagnosis of submucosal upper gastrointestinal tract lesions and large fold gastropathies by catheter ultrasound probe. Gastrointest Endosc 49:184–191PubMed Buscarini E, Stasi M, Rossi S, Silva M, Giangregorio F, Adriano Z, Buscarini L (1999) Endosonographic diagnosis of submucosal upper gastrointestinal tract lesions and large fold gastropathies by catheter ultrasound probe. Gastrointest Endosc 49:184–191PubMed
21.
go back to reference Bolondi L, Caletti G, Casanova P, Villanacci V, Grigioni W, Labo G (1986) Problems and variations in the interpretation of the ultrasound feature of the normal upper and lower GI tract wall. Scand J Gastroenterol Suppl 123:16–26PubMed Bolondi L, Caletti G, Casanova P, Villanacci V, Grigioni W, Labo G (1986) Problems and variations in the interpretation of the ultrasound feature of the normal upper and lower GI tract wall. Scand J Gastroenterol Suppl 123:16–26PubMed
Metadata
Title
High-resolution real-time compound ultrasound imaging of transient protein-losing gastropathy of childhood
Authors
Maria-Helena Smet
Elvier Mussen
Nadine Ectors
Luc Breysem
Publication date
01-12-2003
Publisher
Springer-Verlag
Published in
European Radiology / Issue Special Issue 6/2003
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-003-2071-9

Other articles of this Special Issue 6/2003

European Radiology 6/2003 Go to the issue