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J Korean Soc Emerg Med > Volume 21(5); 2010 > Article
Journal of The Korean Society of Emergency Medicine 2010;21(5): 717-719.
Eosinophilic Enteritis Involving the Entire Intestinal Wall Presenting as Small Bowel Obstruction and Acute Abdomen
Hang Joo Cho, Young Mi Ku, In Yong Whang, Kyoung Ho Choi, Eun Jung Lee, Chang Hyeok An
1Department of Emergency Medicine, Uijongbu St. Mary's Hospital, The Catholic University of Korea, Uijongbu, Korea.
2Department of Radiology, Uijongbu St. Mary's Hospital, The Catholic University of Korea, Uijongbu, Korea.
3Department of Pathology, Uijongbu St. Mary's Hospital, The Catholic University of Korea, Uijongbu, Korea.
4Department of Surgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea, Uijongbu, Korea. achcolo@catholic.ac.kr
ABSTRACT
Eosinophilic enteritis is an uncommon disease that rarely manifests as an acute abdomen. A 50-year-old man visited our hospital and complained of epigastric and periumbilical pain. He reported direct and rebound tenderness over the periumbilical area. Laboratory examinations showed leukocytosis without eosinophilia. Plain abdominal radiography revealed air-fluid levels in the small intestine and computed tomography revealed concentric wall thickening in the small bowel and ascites in the pelvic cavity. We conducted an emergency operation and segmental resection of the jejunum was performed. Histologically, transmural, eosinophilic infiltration was observed. In patients with intestinal obstruction, even when presenting with an acute abdomen with no peripheral eosinophilia, eosinophilic enteritis should be included in the differential diagnosis.
Key words: Gastroenteritis, Eosinophilia, Intestinal obstruction, Acute abdomen
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