Eosinophilic Disorders of the Gastrointestinal Tract and Associated Abdominal Viscera: Imaging Findings and Diagnosis

Yalon, Mariana; Amawi, Ali Dean Tahboub; Kelm, Zachary S.; Wells, Michael; Teo, Lynette Ls; Heiken, Jay P.; Sheedy, Shannon P.; Torbenson, Michael; Fidler, Jeff L.; Venkatesh, Sudhakar K.

doi:10.1148/rg.220004

Cited by 11 publications

(13 citation statements)

References 71 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A few cases of intestinal perforations have been reported. By contrast, colonic locations of EGE are rarer [ 10 ]. These are mostly ileocolic forms that can pose diagnostic challenges with Crohn’s disease.…”

Section: Discussionmentioning

confidence: 99%

A rare case of eosinophilic jejunitis: diagnosis and management strategies

Aaboudech,

Zouaidia,

Znati

et al. 2024

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Eosinophilic gastroenteritis is a rare disease with an unknown cause, which can manifest independently or as part of a hyper-eosinophilic syndrome. The severity of the condition depends on the extent of eosinophilic infiltration and damage to the digestive tract. Diagnosis relies on histological examination, which reveals a significant presence of eosinophilic polymorphonuclear leukocytes in the digestive wall. The authors present a new case of eosinophilic gastroenteritis in a 28-year-old patient who exhibited obstructive symptoms but lacked peripheral eosinophilia. Esophagogastroduodenoscopy showed no abnormalities, but barium transit imaging revealed gastro-duodeno-jejunal dilation upstream of a tight jejunal stenosis. Surgical examination of the affected area confirmed a diffuse and transparietal eosinophilic infiltrate, with no evidence of parasitic or granulomatous lesions. Fortunately, the patient had a swift recovery following surgery. Biopsies conducted at other locations, including the gastric, hepatic, and medullary levels, produced negative results, indicating the localized nature of the condition.

show abstract

Section: Discussionmentioning

confidence: 99%

A rare case of eosinophilic jejunitis: diagnosis and management strategies

Aaboudech,

Zouaidia,

Znati

et al. 2024

Journal of Surgical Case Reports

View full text Add to dashboard Cite

show abstract

“…Diagnostic images are essential in the approach to eosinophilic enteritis, since they allow us to rule out multiple differential diagnoses. Imaging findings in EGE are nonspecific, but include thickening of the bowel walls, stenotic areas, lymphadenitis, mesenteritis, and ascites depending on the chronicity of the disease and the layer involved (submucusosa, mucosa, serosa) [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Eosinophilic enterocolitis in duodenum, ileum, and colon: A case report

Van-Londoño,

Ramírez-Giraldo,

Martínez Echeverri

et al. 2024

Heliyon

View full text Add to dashboard Cite

“…A comprehensive differential diagnosis must consider atypical presentations that mimic infectious pathogens, irritable bowel syndrome, or parasitic infections [ 22 , 23 ]. Environmental factors, such as antibiotic use and dietary habits, can impact the normal levels of GI eosinophils, and these influences may be more prevalent in rural areas, complicating the determination of the cause of eosinophilia [ 22 , 25 , 26 ]. To address these challenges effectively, healthcare providers in rural settings must be vigilant about potential confounders and recognize the atypical presentations of eosinophilic enteritis.…”

Section: Reviewmentioning

confidence: 99%

“…Eosinophilic enteritis often manifests with symptoms that are non-specific and may overlap with those of other GI disorders, posing a considerable diagnostic challenge. Common symptoms associated with eosinophilic enteritis encompass nausea, vomiting, diarrhea, abdominal pain, bloating, and weight loss [22][23][24]. A comprehensive differential diagnosis must consider atypical presentations that mimic infectious pathogens, irritable bowel syndrome, or parasitic infections [22,23].…”

Section: Overlapping Symptoms With Other Gi Disordersmentioning

confidence: 99%

Challenges in Diagnosis and Management of Unusual Cases of Eosinophilic Enteritis in Rural Health Settings: A Comprehensive Review

Ghosh,

Hiwale

2024

Cureus

View full text Add to dashboard Cite

This comprehensive review delves into the challenges associated with diagnosing and managing unusual cases of eosinophilic enteritis in rural health settings. Eosinophilic enteritis, characterized by an abnormal accumulation of eosinophils in the gastrointestinal (GI) tract, poses distinct difficulties in diagnosis due to its varied presentations. In rural contexts, limited access to specialized diagnostic tools, a shortage of healthcare professionals, and geographical constraints compound these challenges. This abstract encapsulates the critical issues explored in the review, emphasizing the importance of addressing atypical cases and rural healthcare's unique hurdles. The conclusion is a rallying call for collaborative action, advocating for improved education, telemedicine solutions, and enhanced access to specialized care. The implications extend beyond eosinophilic enteritis, with the potential to instigate systemic improvements in rural healthcare globally. This review is a crucial contribution to understanding eosinophilic enteritis in rural settings and advocates for transformative measures to improve diagnosis, management, and overall healthcare outcomes.

show abstract

Eosinophilic Disorders of the Gastrointestinal Tract and Associated Abdominal Viscera: Imaging Findings and Diagnosis

Cited by 11 publications

References 71 publications

A rare case of eosinophilic jejunitis: diagnosis and management strategies

A rare case of eosinophilic jejunitis: diagnosis and management strategies

Eosinophilic enterocolitis in duodenum, ileum, and colon: A case report

Challenges in Diagnosis and Management of Unusual Cases of Eosinophilic Enteritis in Rural Health Settings: A Comprehensive Review

Contact Info

Product

Resources

About