Eosinophilic Gastroenteritis Presenting as Small Bowel Obstruction.
Loading...
Date
2014-09
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Eosinophilic gastroenteritis is a rare disease of unknown
etiology characterized by eosinophilic infiltration of bowel
wall to a variable depth. A 38 year old female presented
with loose stool and vomiting since 3 days. She gave history
of pain abdomen and weight loss since six months. Barium
study revealed ascending colon stricture just proximal to
the hepatic flexure ? malignant. A colonic biopsy was done,
which was reported as edematous colonic mucosa with
mild increase in eosinophils. Intra-operatively, a dense long
segment stricture was found in the ascending colon
extending to the caecum which warranted a right
hemicolectomy. Histopathology revealed dense infiltration
of eosinophils in the entire thickness of ileal and caecal
wall. The diagnosis of eosinophilic gastroenteritis was
made. Patient responded well to steroids. The case is being
reported to highlight its rarity due to caecal involvement,
presentation as intestinal obstruction and missed diagnosis
on endoscopic biopsy.
Description
Keywords
eosinophilic gastroenteritis, intestinal obstruction, stricture
Citation
Buch Archana C, Chandanwale Shirish S, Kumar Harsh, Dubhashi Siddharth P. Eosinophilic Gastroenteritis Presenting as Small Bowel Obstruction. Indian Medical Gazette. 2014 Sep ; 148 (9): 349-351.