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[Acute abdomen caused by transmural eosinophilic enteritis].
C Placer Galán1, J M Bordas Rivas, J M Arrinda
1Servicio de Cirugía General y Digestiva, Hospital Ntra. Sra. de la Antigua, Zumárraga, Guipúzcoa.
Revista Espanola De Enfermedades Digestivas
|November 1, 1992
Summary
A patient presented with acute appendicitis but was found to have transmural eosinophilic enteritis. This rare condition required intestinal resection and further evaluation.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Appendicitis is a common surgical emergency.
- Eosinophilic gastrointestinal disorders are a group of rare conditions characterized by eosinophil infiltration of the gastrointestinal tract.
Observation:
- A 45-year-old male with a history of beta-lactam antibiotic allergy presented with right lower quadrant abdominal pain and nausea.
- Initial diagnosis was acute appendicitis, confirmed by laparotomy.
- Histological examination revealed transmural eosinophilic enteritis in the terminal ileum and ascites.
Findings:
- The patient underwent intestinal resection.
- Post-operative evaluation was performed to investigate the underlying cause of eosinophilic enteritis.
Implications:
- This case highlights the importance of considering eosinophilic enteritis in the differential diagnosis of acute appendicitis, especially in the presence of atypical findings.
- Further research is needed to understand the pathogenesis and optimal management of eosinophilic enteritis.