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Eosinophilic colitis.

V R Velchuru¹, M A B Khan, H B Hellquist

¹Department of Surgery, James Paget Hospital NHS Trust, Lowestoft Road, Gorleston, Great Yarmouth, NR31 6LA, UK. velchuru@hotmail.com

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract

|September 13, 2007

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Eosinophilic colitis, a rare inflammatory bowel disease, can lead to cecal volvulus obstruction. This case highlights a unique association requiring surgical intervention for this rare gastrointestinal condition.

Area of Science:

Gastroenterology
Colorectal Surgery
Pathology

Background:

Eosinophilic colitis is a rare chronic inflammatory bowel condition with an unknown cause.
It is characterized by eosinophil infiltration into the colon wall.

Observation:

A 48-year-old female presented with symptoms of abdominal pain, constipation, and distension.
Clinical and radiological findings indicated a diagnosis of cecal volvulus.
Preoperative colonoscopic reduction of the volvulus was unsuccessful.

Findings:

Surgical exploration via laparotomy revealed the need for a right hemicolectomy with primary anastomosis.
Histological examination of the resected specimen confirmed diffuse eosinophilic infiltration, consistent with eosinophilic colitis.

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This represents the first reported case associating cecal volvulus with eosinophilic colitis.

Implications:

This case suggests a potential, previously unreported link between eosinophilic colitis and cecal volvulus.
It underscores the importance of considering rare gastrointestinal emergencies in patients with chronic inflammatory conditions.
Further research may elucidate the underlying mechanisms connecting these two conditions.