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Published on: May 10, 2024
Eosinophilic enteritis presenting as intussusception in adult
Woon Geon Shin1, Cheol Hee Park, Young Seok Lee
1Division of Gastroenterology, Department of Internal Medicine, College of Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
The Korean Journal of Internal Medicine
|April 13, 2007
Summary
Eosinophilic enteritis, a rare gastrointestinal disorder, can present as adult intussusception. This case highlights successful non-surgical management with oral steroids, leading to sustained remission.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Eosinophilic gastroenteritis involves eosinophil-rich inflammation in the GI tract without other causes.
- Clinical presentation varies based on the affected bowel layer.
Observation:
- Adult intussusception due to eosinophilic enteritis is rarely documented.
- Diagnosing adult intussusception can be challenging due to non-specific symptoms.
Findings:
- Ultrasonography and endoscopic biopsy facilitated an accurate diagnosis of intussusception caused by eosinophilic enteritis.
- The patient received a 7-day course of oral prednisolone (30 mg/day), followed by a 2-month taper.
Implications:
- Non-surgical management with corticosteroids can be effective for eosinophilic enteritis-induced intussusception in adults.
- This case expands the understanding of rare presentations of eosinophilic gastroenteritis.
- Early diagnosis and appropriate treatment can lead to long-term remission.
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