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KMID : 0385920100210050717
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Journal of the Korean Society of Emergency Medicine
2010 Volume.21 No. 5 p.717 ~ p.719
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Eosinophilic Enteritis Involving the Entire Intestinal Wall Presenting as Small Bowel Obstruction and Acute Abdomen
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Cho Hang-Joo
Ku Young-Mi
Whang In-Yong
Choi Kyung-Ho
Lee Eun-Jung
An Chang-Hyeok
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Abstract
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Eosinophilic enteritis is an uncommon disease that rarely manifests as an acute abdomen. A 50-year-old man visited our hospital and complained of epigastric and periumbilical pain. He reported direct and rebound tenderness over the periumbilical area. Laboratory examinations showed leukocytosis without eosinophilia. Plain abdominal radiography revealed air-fluid levels in the small intestine and computed tomography revealed concentric wall thickening in the small bowel and ascites in the pelvic cavity. We conducted an emergency operation and segmental resection of the jejunum was performed. Histologically, transmural, eosinophilic infiltration was observed. In patients with intestinal obstruction, even when presenting with an acute abdomen with no peripheral eosinophilia, eosinophilic enteritis should be included in the differential diagnosis.
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KEYWORD
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Gastroenteritis, Eosinophilia, Intestinal obstruction, Acute abdomen
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