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Eosinophilic colitis presenting as a right iliac fossa mass--a case report
K B Badmos1, D Sabageh, O S Ojo
1Department of Pathology, College of Health Sciences, University of Ilorin, Ilorin, Kwara State. badmoskb@yahoo.com
West African Journal of Medicine
|March 5, 2009
Summary
Eosinophilic colitis, a rare inflammatory condition, can mimic right iliac fossa neoplasms. Prompt histopathological diagnosis is crucial for effective treatment and patient management.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Eosinophilic colitis is an inflammatory condition involving eosinophil infiltration of the colonic wall, causing submucosal edema.
- Right-sided involvement of the colon, appendix, and omentum can present as a right iliac fossa neoplasm.
Observation:
- A 47-year-old woman presented with a 6-month history of intermittent lower abdominal pain and a palpable right iliac mass.
- Initial ultrasonography suggested a right-sided tubo-ovarian mass.
Findings:
- Exploratory laparotomy revealed a complex mass involving the cecum, ascending colon, appendix, and omentum.
- Histopathological examination confirmed eosinophilic colitis with peritonitis.
- The patient showed sustained clinical improvement after steroid therapy and antihelminthics.
Implications:
- Eosinophilic colitis is a rare differential diagnosis for right iliac fossa masses.
- Accurate histopathological diagnosis of surgical specimens is vital for appropriate patient management, especially in peripheral hospitals.
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