Case Report of Eosinophilic Enteritis with Intestinal Stricture Requiring Emergency Surgery

Ryoji Izuka, Yuichi Saisaka, Atsushi Takenaka, Hiroshi Izumi, Shigeru Takahashi, Naoki Kakihara, Hiroomi Matsumura, Masahiro Uehara, Yasunori Shono and Genichi Katou^*

Department of Surgery, Kyoto Second Red Cross Hospital
Department of Pathology, Kyoto Second Red Cross Hospital^*

A 48-year-old man admitted for abdominal pain had a history of eating raw sardines. Under suspected acute abdomen of unknown origin, we conducted emergency laparoscopic exploration, finding a moderate amount of turbid yellow ascites in the abdominal cavity. Exploration showed induration at the ileum about 250 cm from the of Treitz ligament. After conversion to open surgery, we partially resected the ileum. Resected material showed redness and thickening of the submucosa. Because there no parasites or parasitic ulcerations were found, we made a diagnosis of eosinophilic enteritis.

Key words
eosinophilic enteritis, intestinal obstruction

Reprint requests
Ryoji Iizuka Department of Surgery, Kyoto Second Red Cross Hospital Kamanza Marutamachi, Kamigyoku, Kyoto, 602-8026 JAPAN

Accepted
September 25, 2002

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