Eosinophilic colitis necessitating surgery: a rare case report
DOI:
https://doi.org/10.18203/2349-2902.isj20251187Keywords:
Eosinophilic colitis, Eosinophilic gastrointestinal disorders, Intestinal obstruction, Right radical hemicolectomyAbstract
Eosinophilic colitis (EC) is a rare heterogenous inflammatory disorder with a wide range of symptoms that can mimic a variety of pathologies. We report a rare case of EC presenting as recurrent intestinal obstruction. A 45-year gentleman presented with recurrent episodes of colicky abdominal pain whose blood investigations revealed eosinophilia and high absolute eosinophilic count. Abdominal radiograph and USG abdomen and pelvis were suggestive of intestinal obstruction. Computerised tomography and colonoscopy revealed ascending colon stricture, and colonoscopy-guided biopsy suggested chronic nonspecific colitis. Laparotomy revealed an obstructive lesion of the ascending colon with no regional lymphadenopathy. A right radical hemicolectomy was performed, and the histopathological examination revealed EC. The patient had an uneventful postoperative recovery and was started on medical therapy with albendazole, levocetirizine, montelukast and diethylcarbamazine. The patient has been on regular follow-up and is doing well.
Metrics
References
Dellon ES, Hirano I. Epidemiology and Natural History of Eosinophilic Esophagitis. Gastroenterology. 2018;154(2):319-32. DOI: https://doi.org/10.1053/j.gastro.2017.06.067
Uenishi T, Sakata C, Tanaka S, Yamamoto T, Shuto T, Hirohashi K, et al. Eosinophilic enteritis presenting as acute intestinal obstruction: a case report and review of the literature. Dig Surg. 2003;20(4):326-9. DOI: https://doi.org/10.1159/000071759
Alfadda AA, Storr MA, Shaffer EA. Eosinophilic colitis: epidemiology, clinical features, and current management. Therap Adv Gastroenterol. 2011;4(5):301-9. DOI: https://doi.org/10.1177/1756283X10392443
Uppal V, Kreiger P, Kutsch E. Eosinophilic Gastroenteritis and Colitis: a Comprehensive Review. Clin Rev Allergy Immunol. 2016;50(2):175-88. DOI: https://doi.org/10.1007/s12016-015-8489-4
Chen MJ, Chu CH, Lin SC, Shih SC, Wang TE. Eosinophilic gastroenteritis: clinical experience with 15 patients. World J Gastroenterol. 2003;9(12):2813-6. DOI: https://doi.org/10.3748/wjg.v9.i12.2813
Fonseka CL, Nanayakkara S, Singhapura SDAL, Herath HMM, Bodinayake CK, Eosinophilic Gastroenteritis with a Relapsing and Remitting Course with Presence of Autoimmune Antibodies. Case Rep Med. 2020;1745834:5. DOI: https://doi.org/10.1155/2020/1745834
Insiripong S, Siriyakorn N. Treatment of eosinophilia with albendazole. Southeast Asian J Trop Med Public Health. 2008;39(3):517-20.
Yun MY, Cho YU, Park IS, Choi SK, Kim SJ, Shin SH, et al. Eosinophilic gastroenteritis presenting as small bowel obstruction: a case report and review of the literature. World J Gastroenterol. 2007;13(11):1758-60. DOI: https://doi.org/10.3748/wjg.v13.i11.1758
Niranjan R, Mavi P, Rayapudi M, Dynda S, Mishra A. Pathogenic role of mast cells in experimental eosinophilic esophagitis. Am J Physiol Gastrointest Liver Physiol. 2013;304(12):G1087-94. DOI: https://doi.org/10.1152/ajpgi.00070.2013
Shweiki E, West JC, Klena JW, Kelley SE, Colley AT, Bross RJ, et al. Eosinophilic gastroenteritis presenting as an obstructing cecal mass--a case report and review of the literature. Am J Gastroenterol. 1999;94(12):3644-5. DOI: https://doi.org/10.1111/j.1572-0241.1999.01625.x
Downloads
Published
How to Cite
Issue
Section
