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Eosinophilic Gastroenteritis Causing Small Bowel Diverticulosis and Volvulus: A Case Report
Rebecca Barr1, Carl Freeman1, John Culhane1
1Department of General Surgery, Saint Louis University, St Louis, MO, USA.
The American Journal of Case Reports
|October 5, 2021
Summary
Eosinophilic gastroenteritis can cause rare complications like small bowel diverticulosis and volvulus. This case highlights the need to consider small bowel diverticulosis in patients with chronic eosinophilic gastroenteritis.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Eosinophilic gastroenteritis involves eosinophilic infiltration of the GI tract without a clear cause.
- It can manifest with diverse symptoms, including pain and obstruction.
Observation:
- An 83-year-old woman presented with chronic abdominal pain, nausea, and early satiety.
- Radiology indicated partial midgut volvulus; surgery revealed jejunal diverticulosis without malrotation.
Findings:
- Surgical resection of 70 cm of jejunum with diverticula led to symptom resolution.
- The proposed etiology is chronic intermittent obstructions from eosinophilic gastroenteritis causing increased intraluminal pressure and diverticulosis.
Implications:
- This case suggests a link between eosinophilic gastroenteritis and the development of small bowel diverticulosis.
- Clinicians should maintain a high index of suspicion for small bowel diverticulosis in patients with chronic eosinophilic gastroenteritis.
