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Laparoscopy in eosinophilic jejunitis presenting as subacute bowel obstruction: a case report
Philip Alexander1, Sunita Jacob, Vergis Paul
1Department of Pathology, Christian Medical College and Hospital, Ludhiana 141008. philalex@satyam.net.in
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|November 8, 2003
Summary
Eosinophilic gastroenteritis is a rare condition causing bowel obstruction. Diagnosis can be challenging, but laparoscopic biopsy and steroids may offer a less invasive treatment option.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Eosinophilic gastroenteritis is a rare gastrointestinal disorder.
- Diagnosis is typically retrospective and histopathological.
- Common symptoms include abdominal pain and obstructive symptoms with weight loss.
Observation:
- A patient presented with proximal bowel obstruction symptoms.
- Conventional radiology and endoscopy failed to diagnose the condition.
- Laparoscopy revealed an intensely thickened proximal jejunum as the obstruction cause.
Findings:
- The patient underwent laparotomy and resection anastomosis.
- Histopathological biopsy confirmed eosinophilic jejunitis.
- The patient recovered well post-operatively.
Implications:
- Full-thickness laparoscopic biopsy may aid early diagnosis.
- Steroid therapy could potentially avoid surgical intervention (laparotomy).
- This case highlights diagnostic challenges and potential treatment strategies for eosinophilic gastroenteritis.