Visualization of Jejunal Bleeding by Capsule Endoscopy in a Case of Eosinophilic Enteritis
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Eosinophilic enteritis is a rare disease characterized by tissue eosinophilia, which can affect different layers of bowel wall. Normally, the disease presents as colicky abdominal pain, and rarely as an acute intestinal obstruction or perforation. In this paper, we report a case of eosinophilic enteritis, hitherto unreported, presenting as an ileal obstruction, and followed by jejunal bleeding, which was visualized by capsule endoscopy. A 62-year-old man received a 15 cm single segmental ileal resection at a point 50 cm from the IC valve due to symptoms of obstruction, which were diagnosed as eosinophilic enteritis. Seventeen days after operation, intermittent abdominal pain occurred again, and subsided upon 30 mg per day treatment with prednisolone. Fourteen days after this pain attack, the patient exhibited hematochezia, in spite of continuous prednisolone treatment. Capsule endoscopy showed fresh blood spurting from the mid-to-distal jejunum, in the absence of any mass or ulcer. This hematochezia rapidly disappeared following a high-dose steroid injection, suggesting it was a manifestation of jejunal eosinophilic enteritis.
Abstract
Eosinophilic enteritis is a rare disease characterized by tissue eosinophilia, which can affect different layers of bowel wall. Normally, the disease presents as colicky abdominal pain, and rarely as an acute intestinal obstruction or perforation. In this paper, we report a case of eosinophilic enteritis, hitherto unreported, presenting as an ileal obstruction, and followed by jejunal bleeding, which was visualized by capsule endoscopy. A 62-year-old man received a 15 cm single segmental ileal resection at a point 50 cm from the IC valve due to symptoms of obstruction, which were diagnosed as eosinophilic enteritis. Seventeen days after operation, intermittent abdominal pain occurred again, and subsided upon 30 mg per day treatment with prednisolone. Fourteen days after this pain attack, the patient exhibited hematochezia, in spite of continuous prednisolone treatment. Capsule endoscopy showed fresh blood spurting from the mid-to-distal jejunum, in the absence of any mass or ulcer. This hematochezia rapidly disappeared following a high-dose steroid injection, suggesting it was a manifestation of jejunal eosinophilic enteritis.
참고문헌 (17)
- "a clinicopathological study of patients with disease of the mucosa", eosi(philic gastroenteritis), pp.54~58 (1990)
- "Proximal jejunal obstruction due to eosinophilic gastroenteritis", 42, pp.121~123 (1996)
- "Eosinophilic enteritis presenting as acute intestinal obstruction:a case report and review of the literature", 20, pp.326~329 (2003)
- "Ileal perforation due to eosinophilic gastroenteritis", 86, pp.1689~1690 (1991)
- "Eosinophilic ileitis with perforation caused by Angiostrongylus (Parastrongylus) costaricensis: a case study and review.", 121, pp.989~991 (1997)
- "Two cases of eosinophilic enteritis presenting as large bowel perforation and small bowel haemorrhage", 57, pp.335~336 (1987)
- "Eosinophilic gastroenteritis:10 years experience", 88, pp.70~74 (1993)
- "Wireless capsule endoscopy:a comparison with push enteroscopy in patients with gastroscopy and colonoscopy negative gastrointestinal bleeding", 52, pp.1122~1126 (2003)
- "Fata eosinophilic enteritis", 71, pp.479~483 (1976)
- "Eosinophilic ileocolitis by Enterobius vermicularis:a description of two rare cases", 29, pp.51~53 (1997)
- "Perforation of the small intestine due to eosinophilic gastroenteritis", 79, pp.442~445 (1984)
- "Pathology of the gastrointestinal tract, 2nd ed", pp.226~228 (1998), Baltimore, Williams & Wilkins
- "Gastrointestinal manifestations of immunologic disorders.", pp.2464~2465 (1995), J.B. Lippincott Co.,
- "Eosinophilic gastro-enteritis associated with protein-losing enteropathy and protein C deficiency", 24, pp.155~163 (1996)
- "Laparoscopy in eosinophilic jejunitis presenting as subacute bowel obstruction:a case report", 24, pp.97~98 (2003)
- "Eosinophilic enteritis:a diagnostic dilemma", 21, pp.258~259 (2002)
- "Eosinophilic enteritis:a case for diagnostic laparoscopy", 12, pp.987~989 (1998)