“Now we were really stumped.” - Thomas P. ![]() It was a decision that led to a discovery - and a cause - no one suspected. They recommended CT enterography, an imaging study that inspects the small intestine.īecause Trezona had already undergone a CT scan, Gonenne decided to order an MRI enterography, which he thought might provide better visualization. Gonenne called contacts at the Mayo Clinic where he trained for suggestions about what to do next. He worried his doctors might think he was “a bit crazy.” His pain was getting worse, and he was continuing to lose weight, but nobody could find anything. “I was partly relieved but left scratching my head as to what was going on,” Gonenne recalled. ![]() The exam and biopsies were normal, which ruled out eosinophilic gastroenteritis. Gonenne scheduled an endoscopy to inspect the upper GI tract and take biopsy samples. “I sure as hell didn’t want that,” Trezona recalled. He turned his attention to another cause that seemed increasingly possible: eosinophilic gastroenteritis, a rare chronic digestive disease caused by the accumulation of eosinophils in the GI tract that can trigger malabsorption, pain and bowel obstruction. ![]() But he did not feel entirely relieved as he thought of patients with normal scans whose cancers had been discovered later during surgery. “I was pretty happy,” he said of the normal result. 2 Trezona underwent the CT scan and reviewed the images with the radiologist. The pain came in waves and tended to be milder in the morning, intensifying as the day wore on.
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