Germain M, Lemaigre G, Lapierre J, Lenriot J P
J Chir (Paris). 1977;114(5):377-84.
Eosinophilic ileitis is observed mainly in three coastal areas: Holland, Japan and Brittany. It presents in the form of a parietal inflammation, stenosing the intestinal lumen or a sessile tumour of limited volume. The symptoms are generally those of appendicitis but a past history of allergy and the discovery of eosinophilia greater than 10 p. cent may lead to the diagnosis of eosinophilic granuloma which only histology can confirm. Surgical treatment consists of segmental resection of the small intestine. The pathogenesis of the granuloma, which was for long attributed to the presence in the wall of the intestine of ascaris larvae, is at present debated. Are there non-parasitic eosinophilic granulomas? The case reported here is perhaps an example.
荷兰、日本和布列塔尼。它表现为壁层炎症，使肠腔狭窄或形成体积有限的无蒂肿瘤。症状通常与阑尾炎相似，但有过敏史且嗜酸性粒细胞增多超过10%可能会导致嗜酸性粒细胞肉芽肿的诊断，而这只有通过组织学检查才能确诊。手术治疗包括小肠节段性切除。长期以来，肉芽肿的发病机制被认为是由于蛔虫幼虫存在于肠壁中，目前这一观点仍存在争议。是否存在非寄生虫性嗜酸性粒细胞肉芽肿？此处报告的病例或许就是一个例子。
