A Case of Eosinophilic Gastroenteritis of Predominant Transmural Type

Hidetaka Yamanaka, Kaname Ono, Tatsuroh Satoh and Hiroshi Seko

Department of Surgery, Inuyama Chuo Hospital

The predominant symptoms of eosinophilic gastroenteritis often vary, but conservative therapy is usually the treatment of choice. Occaisionally, however, surgical therapy cannot be avoided. We report the case of a 47-year-old man admitted for increased abdominal pain who was treated using a partial ileectomy with investigation of reported cases in Japan. The patient had no relevant past medical history or allergies. On admission, abdominal distension, hardenning, lower abdominal tenderness, rebound tenderness and muscular defense were recognized. Laboratory data showed neutrophile-predominant leukocytosis but a normal range of eosinophils. The patient's LDH and CRP levels were also elevated. An emergent operation was performed after abdominal X-ray and CT examinations suggested a diagnosis of strangulated ileus. A partial ileectomy of 14 cm length was performed since the ischemic ileitis was located 160 cm on the oral side of the ileocecal valve. Microscopic examination of the resected specimen showed eosinophilic ileitis of a predominantly transmural type.

Key words
eosinophilic gastroenteritis, predominantly transmural type

Reprint requests
Hidetaka Yamanaka Department of Surgery, Inuyama Chuo Hospital 6 Futagozuka, Goroumaru, Inuyama-city, 484-8511 JAPAN

Accepted
June 25, 2003

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