Acute abdomen caused by eosinophilic enteritis: on purpose of six observations

作者：Martinez Ubieto Fernando^*; Bueno Delgado Alvaro; Jimenez Bernado Teresa; Pilar Santero Ramirez Maria; Arribas del Amo Dolores; Martinez Ubieto Javier

来源：Cirugia y Cirujanos, 2013, 81(3): 237-241.

• Eosinophilic enteritis
• acute abdomen
• Anisakis

Background: Eosinophilic enteritis is a rather rare condition characterized by infiltration of the gastrointestinal tract by eosinophils. Causing acute abdomen is really exceptional. The ethiology is unclear and its description in the literature is sparse, but associations have been made with collagen vascular disease, inflammatory bowel disease, food allergy and parasitic infections as it was confirmed in one of our pathologic studies. %26lt;br%26gt;Clinical cases: From 1997 to 2011 six cases of eosinophilic enteritis that involved a small bowel segment have been diagnosticated. A partial resection by an irreversible necrosis was necessary in three of them, wherever in other three only a biopsy was necessary due to the inflammatory aspect of the affected loop causing the acute abdomen. %26lt;br%26gt;Conclusions: Eosinophilic enteritis can originate acute abdomen processes where an urgent surgical treatment is necessary. Intraoperative aspect is from a segment of small bowel with inflammatory signs up to a completely irrecoverable loop, where a removing of the affected segment is the correct treatment, being feasible by laparoscopic approach.

• 出版日期2013-6