Author:
Smaoui Hend,Nakhli Abdelwaheb,Hemdani Nesrine,Bouchabou Bochra,Ennaifer Rym
Abstract
Abstract
Background
Eosinophilic enterocolitis is a rare disorder characterized by abnormal eosinophilic infiltration of the small intestine and the colon.
Case presentation
We report a case of a 29-year-old White man, who presented with an acute bowel obstruction. He had a history of a 2 months non-bloody diarrhea. An abdominal computed tomography (CT) and a MR enterography showed a multifocal extensive ileitis. White blood cell and eosinophilic polynuclei count was elevated (700/mm3). Ileo-colonoscopy showed normal ileum and segmental petechial colitis. Pathology showed a high eosinophilic infiltration in the colon. The patient was treated with steroids, with a clinical, biological and radiological recovery.
Conclusion
Eosinophilic enterocolitis should be kept in mind as a rare differential diagnosis in patients presenting with small bowel obstruction.
Publisher
Springer Science and Business Media LLC
Reference20 articles.
1. Impellizzeri G, Marasco G, Eusebi LH, Salfi N, Bazzoli F, Zagari RM. Eosinophilic colitis: a clinical review. Dig Liver Dis. 2019;51(6):769–73.
2. Macaigne G. Eosinophilic colitis in adults. Clin Res Hepatol Gastroenterol. 2020;44(5):630–7.
3. Walker MM, Potter MD, Talley NJ. Eosinophilic colitis and colonic eosinophilia. Curr Opin Gastroenterol. 2019;35(1):42–50.
4. Uppal V, Kreiger P, Kutsch E. Eosinophilic gastroenteritis and colitis: a comprehensive review. Clin Rev Allergy Immunol. 2016;50(2):175–88.
5. Huang FC, Ko SF, Huang SC, Lee SY. Eosinophilic gastroenteritis with perforation mimicking intussusception. J Pediatr Gastroenterol Nutr. 2001;33(5):613–5.