Case Reports in Surgery / 2015 / Article / Tab 1

Case Report

Spectrum of Surgical Presentation of Eosinophilic Enteritis

Table 1

Clinical manifestation, ultrasound findings, and clinical diagnosis.

Number Age/sex Symptoms/drug historyRadiological finding Clinical diagnosisLaboratory findings

157/MRecurrent constipation 
Vomiting and distention on and off 1 year 
Antitubercular drugs for 9 months [CAT 1]
CECT: thickening in ileocaecal area with mesenteric lymphadenopathy with dilated loopsRecurrent intestinal obstructionESR: 108 
AEC: 550/Cumm 
Chest X ray:  
Signs of fibrosis healed tuberculosis  
Stool examination: NAD 
Montoux test: negative

232/MAcute abdomen 
Guarding 
Rigidity 
Tachycardia 
Hypotension 
No h/o of chronic medication
X-ray erect chest/abdomen showed air under diaphragmAcute perforative peritonitisESR: 100 
AEC: 320 cells/cum 
Chest X-ray: NAD 
Stool examination: NAD 
Montoux test: negative

324/MObstipation, vomiting, and abdominal distention since 1 day 
No h/o chronic medication
X-ray abdomen: multiple air fluid level 
CECT abdomen: target sign suggestive of intussusception with obstruction
Acute intestinal obstruction due to ileo ileal intussusceptionESR: 25 
AEC: 600 cells/cumm 
Chest X-ray: NAD 
Stool examination: NAD 
Montoux test: negative

462/MConstipation, abdominal distention, and vomiting on and off since past 3 months 
h/o intake of amlodipine, aspirin, and atorvastatin for 20 years  
Antitubercular treatment 35 years back
USG: Multiple dilated loops with sluggish peristalsis
CECT: thickening in ileo caecal area with proximal dilated loops
Acute intestinal obstructionESR: 90 
AEC: 70 cells/cumm 
Chest X-ray: NAD 
Stool examination: NAD 
Montoux test: negative

AEC: absolute eosinophil count: normal range: 40–400 cells/cumm.
NAD: no abnormality detected.
ESR: 0–20 mm/hr in male [normal range].

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