Velchuru V R, Khan M A B, Hellquist H B, Studley J G N
Department of Surgery, James Paget Hospital NHS Trust, Lowestoft Road, Gorleston, Great Yarmouth, NR31 6LA, UK.
J Gastrointest Surg. 2007 Oct;11(10):1373-5. doi: 10.1007/s11605-006-0055-1.
Eosinophilic colitis is a rare chronic inflammatory bowel condition of unknown etiology. We report a case of cecal volvulus causing obstruction in a patient with eosinophilic colitis. A 48-year-old lady presented with abdominal pain, constipation, and abdominal distension. Clinically and radiologically, she was diagnosed to have cecal volvulus. Preoperative colonoscopic reduction failed. At laparotomy, a right hemicolectomy with primary anastomosis was undertaken. Histology of the resected specimen showed diffuse eosinophilic infiltration suggesting eosinophilic colitis. To the best of our knowledge, this association has been never reported.
嗜酸性粒细胞性结肠炎是一种病因不明的罕见慢性炎症性肠病。我们报告一例嗜酸性粒细胞性结肠炎患者发生盲肠扭转导致肠梗阻的病例。一名48岁女性出现腹痛、便秘和腹胀。经临床和影像学检查，诊断为盲肠扭转。术前结肠镜复位失败。剖腹手术时，进行了右半结肠切除术并一期吻合。切除标本的组织学检查显示弥漫性嗜酸性粒细胞浸润，提示嗜酸性粒细胞性结肠炎。据我们所知，这种关联从未有过报道。
