Department of Surgery.
Department of Gastroenterology and Endoscopy. Centro Médico ABC, Mexico City, Mexico.
Cir Cir. 2023;91(5):709-712. doi: 10.24875/CIRU.21000723.
Eosinophilic enteritis (EE) is characterized by intense eosinophilic infiltrate of the gastrointestinal tract. Clinical manifestations depend on the affected segment and intestinal layer. First-line treatment is systemic corticosteroids; surgery is reserved for complications. 84-year-old male patient with a history of right hemicolectomy and two episodes of intestinal obstruction presented to the ED with abdominal pain, distension, nausea, and vomiting. CBC showed leukocytosis and no eosinophilia. Contrast-enhanced CT revealed stenosis with thickening of the distal intestinal wall and partial intestinal obstruction. Colonoscopy found aphthous ulcers. Histopathology reported EE. The patient received budesonide and metronidazole, with resolution within 24 h.
嗜酸性粒细胞性肠炎（EE）的特征是胃肠道有强烈的嗜酸性粒细胞浸润。临床表现取决于受累部位和肠层。一线治疗是全身皮质类固醇；手术保留用于并发症。一名 84 岁男性患者，有右半结肠切除术和两次肠梗阻病史，因腹痛、腹胀、恶心和呕吐到 ED 就诊。CBC 显示白细胞增多，无嗜酸性粒细胞增多。增强 CT 显示狭窄伴远端肠壁增厚和部分肠梗阻。结肠镜检查发现口疮性溃疡。组织病理学报告为 EE。患者接受布地奈德和甲硝唑治疗，24 小时内缓解。
