Eosinophilic enteritis presenting as a rare cause for ileo-ileal intussusception

Kshirsagar, Ashok Y; Jagtap, Sunil Vitthalrao; Kanojiya, Rajkamal; Langade, Yogesh Bhupal; Shinde, Sanjay Laxman; Shekhar, Niraj

doi:10.3748/wjg.v13.i47.6444

Cited by 7 publications

(7 citation statements)

References 6 publications

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“…[1] Kaijser is credited with the first description of eosinophilic gastroenteritis, which dates back to 1937. [2,3] This usually presents from third to fifth decade and is almost unheard of in children.…”

Section: Discussionmentioning

confidence: 99%

“…It is very rarely found to affect the distal small bowel. [1] About 85% of cases are associated with eosinophilia. [2,4] Eosinophilic gastrointestinal (GI) disorders may be primary or secondary in nature.…”

Section: Discussionmentioning

confidence: 99%

“…[2,5,6] The symptoms depend on the site of infiltration and the layers affected. [1,4] Eosinophilic enteritis can be asymptomatic or symptomatic. The clinical presentations of eosinophilic enteritis depend on the level of involvement.…”

Section: Discussionmentioning

confidence: 99%

“…Despite all the clinical features, definitive diagnosis can only be made based on presence of increased eosinophils in biopsy specimens from the GI tract wall, the infiltration of eosinophils within intestinal crypts and gastric glands, the lack of involvement of other organs, and the exclusion of other causes of eosinophilia. [1,2,4] The histological characteristic is edema and an inflammatory cell infiltrate composed of eosinophils, which may appear in clumps. [3] The endogenous foreign bodies or the enteroliths were first described by Pfahler and Stamm in 1915.…”

Section: Discussionmentioning

confidence: 99%

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Unusual case of subacute intestinal obstruction due to eosinophilic enteritis with enteroliths

D’Souza¹,

Bhagavan²,

Sunil³

et al. 2010

Ann Trop Med Public Health

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A 42-year-old female was admitted with complaints of colicky abdominal pain and bilious vomiting of 1 day duration. On examination, her vital parameters were within normal limits. Abdominal examination showed a distended abdomen with sluggish bowel sounds. Her hematological parameters were within normal limits. An erect and supine X-ray of her abdomen revealed few air fluid levels involving the small bowel. There were multiple radiopaque shadows seen in the pelvis [ Figure 1]. Ultrasonography of the abdomen showed small bowel loops with sluggish peristalsis and a single gall bladder calculi of 15 mm. A computed tomography (CT) scan with i.v. and oral contrast was done to rule out gall stone ileus. CT scan revealed features of subacute intestinal obstruction along with enteroliths in the lumen of the small bowel and cholelithiasis [ Figure 2]. Patient was kept nil by mouth and started on intravenous fluids. A Ryle's tube was inserted and the patient was monitored without any surgical intervention. The patient showed significant improvement on the next SUMMARY Eosinophilic enteritis is an uncommon disease characterized by eosinophilic infiltration involving any layer of the bowel wall. It can affect any area of gastrointestinal tract although stomach and small intestine are sites most frequently involved. It is important to recognize this disease and institute the necessary treatment at the earliest in order to avoid its complications. We present a case where the patient presented with features of subacute intestinal obstruction due to distal ileal strictures and enteroliths. Histopathologic examination of the resected specimen revealed characteristic features of eosinophilic enteritis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Unusual case of subacute intestinal obstruction due to eosinophilic enteritis with enteroliths

D’Souza¹,

Bhagavan²,

Sunil³

et al. 2010

Ann Trop Med Public Health

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show abstract

“…Se caracteriza por la presencia de un infiltrado eosinófilo en la pared intestinal y su espectro sintomático es muy amplio dependiendo de dónde se localice el infiltrado inflamatorio 3 . Cuando la afectación es transmural, pueden producirse complicaciones; entre éstas se han descrito, de forma excepcional, cuadros de invaginación intestinal, también con gran variedad clínica 4,5 . Es importante excluir otras causas de infiltración eosinofílica, entre éstas, la infestación parasitaria.…”

Section: Sr Directorunclassified