1/18. Eosinophilic gastroenteritis: presentation of two patients with unusual affect of terminal ileum and caecum with manifestations of acute abdomen and literature review.Eosinophilic gastroenteritis is a rare disease; the long-term personal history with digestive symptoms and the course of the disease with relapses and remissions is the key for the disease to be suspected. endoscopy, CT scan and sonographic studies may provide important indirect signs of the disease and in combination with histological examination the diagnosis can be achieved. The administration of corticosteroids is an important factor for the treatment or the remission of the disease. In this study two cases with unusual location of the disease, on the terminal ileum and caecum, are presented and a literature review is attempted. The disease process, clinical and laboratory findings as well as the surgical approach used are described. Eosinophilic gastroenteritis is a very rare disease with its surgical complications. The disease is a non-surgical disease, thus presurgical diagnosis is important because the entity discussed can be under control by conservative treatment. A high disease suspicious index must be kept in the physicians' mind.- - - - - - - - - - ranking = 1keywords = enteritis (Clic here for more details about this article) |
2/18. Eosinophilic enteritis presenting as acute abdomen: US features of two cases.Eosinophilic enteritis is a rare disease which may mimic acute abdominal emergency. Two sonographically documented cases are presented, which were subsequently proven at operation. Although the sonographic features of severe echolucent bowel wall thickening were not specific, combination with clinical and laboratory data may suggest the correct diagnosis.- - - - - - - - - - ranking = 0.83333333333333keywords = enteritis (Clic here for more details about this article) |
3/18. Cytomegalovirus ileitis in an immunocompetent elderly adult.Cytomegalovirus enteritis is most usually associated with patients positive for human immunodeficiency virus or immunosuppressed transplant patients. The gastrointestinal tract may be affected anywhere from the esophagus to the colon, but the small bowel involvement is rare. We report a case of cytomegalovirus ileitis in an immunocompetent adult, which was confirmed by histopathologic findings through colonoscopic biopsy.- - - - - - - - - - ranking = 0.16666666666667keywords = enteritis (Clic here for more details about this article) |
4/18. Isolated cytomegalovirus ileitis detected by colonoscopy.cytomegalovirus infections in immunocompromised patients mimic graft-versus-host disease by causing abdominal pain, watery diarrhea, and protein-losing enteropathy. The cases of three bone marrow transplant patients with diarrheal illness and biopsy-proven graft-vs.-host disease are reported. Isolated cytomegalovirus enteritis was subsequently identified by endoscopic examination and biopsy of the terminal ileum. All three improved with the eventual institution of 9-(1,3-dihydroxy-2-propoxymethyl) guanine. Ileoscopy is important in addition to colonoscopy in bone marrow transplant patients with diarrhea if cytomegalovirus enteritis is to be identified and appropriately treated.- - - - - - - - - - ranking = 0.33333333333333keywords = enteritis (Clic here for more details about this article) |
5/18. Regional enteritis-like enteropathy in a patient with agammaglobulinemia: histologic and immunocytologic studies.A 24-year-old man with agammaglobulinemia developed a form of chronic inflammatory bowel disease over the past 18 years characterized by recurrent diarrhea, malabsorption, and protein-losing enteropathy. In the most recent admission he presented with abdominal cramps and active intestinal bleeding. Radiologic studies showed distal ileal irregularities and strictures that led to two distal intestinal and ileocecal resections. The gross pathologic appearance of these specimens was consistent with regional enteritis. Microscopically, healing ulcers, mucosal irregularities, and a prominent lymphocytic infiltrate without plasma cells or granulomas were observed. Immunocytochemical studies revealed a prominent T-helper cell and a modest T-suppressor/cytotoxic lymphocyte population in the lamina propria. Early and late B-cell differentiation markers were not detected in any of the cells. The immunocytologic findings suggest that T-helper lymphocytes proliferated without inhibition to stimulate non-existent B cells. The study confirms the occurrence of a regional enteropathy-like lesion in the total absence of B-cell function.- - - - - - - - - - ranking = 0.83333333333333keywords = enteritis (Clic here for more details about this article) |
6/18. Eosinophilic enteritis--a recent north queensland experience.Thirty-three patients have been investigated in Townsville between 1983 and 1987 with eosinophilic enteritis. All were Caucasian and had been well prior to this illness. Twenty-six had similar presentations with episodic and transient abdominal pain often with features of small bowel obstruction. Four patients presented with pain and diarrhoea, two with chronic diarrhoea and one with recurrent melena. All patients at some stage during their illness developed high peripheral blood eosinophil counts, mean value 2096/mm3. Nine patients had laparotomies. The disease typically involved a short segment of ileum or jejunum with thickening and induration. The histology of the four resected specimens demonstrated a transmural inflammation with edema and an intense eosinophilic infiltrate. A solitary adult hookworm was identified in one patient adherent to the mucosa of the resected bowel. Each of the 19 patients treated with antihelminthic drugs responded promptly. Recovery was accompanied by a return to normal peripheral blood eosinophil counts. This paper reports an unusual form of eosinophilic enteritis thought due to a parasitic infection. The diagnosis should be considered in patients from North queensland presenting with abdominal pain and eosinophilia. laparotomy should be delayed pending a trial of conservative therapy with mebendazole.- - - - - - - - - - ranking = 1keywords = enteritis (Clic here for more details about this article) |
7/18. Indiscretion enteritis. A Rabelaisian syndrome.A 76-year-old man had small bowel obstruction and organic small bowel disease following a series of bizarre massive gustatory insults that involved food, medications, and mega-mineral-vitamin supplements. intestinal obstruction required partial small bowel resection. The dietary indiscretions resulted in severe enteritis (indiscretion enteritis). The sequence has been termed a Rabelaisian syndrome after the great French writer and physician, Francois Rabelais, who vividly described bizarre gustatory habits. Gut injury may result from unwise oral intake of various foods and mineral supplements.- - - - - - - - - - ranking = 1keywords = enteritis (Clic here for more details about this article) |
8/18. Laminated radiopaque enteroliths: diagnostic clues to intestinal pathology.Laminated intestinal calculi were detected during radiographic evaluation of the abdomen in 14 adult patients. These enteroliths had developed in the distal ileum of 12 patients who had either a Meckel's diverticulum (four cases) or a variety of other lesions causing local stasis, including strictures due to Crohn's ileitis, ileocecal tuberculosis, radiation enteritis, and peritoneal adhesions. Only two patients had enteroliths in the colon proximal to strictures complicating ulcerative colitis. The clinical and radiological features of enterolithiasis as well as the mechanism of its formation are herein described.- - - - - - - - - - ranking = 0.16666666666667keywords = enteritis (Clic here for more details about this article) |
9/18. Enteritis cystica profunda.In addition to hamartomatous polyps of the small intestine, a patient with Peutz-Jeghers disease had gross and microscopic lesions of the ileum that were analogous to colitis cystica profunda in the large intestine and rectum. To the authors' knowledge, this is the first such case in an adult to be reported. They suggest the designation, "enteritis cystica profunda." The histology of the lesions and their association with a disease known to produce hamartomatous lesions lend support to the proposition that some cases of colitis cystica are also hamartamatous. It is also believed that some reported cases of small-intestinal adenocarcinoma in patients with peutz-jeghers syndrome are in reality examples of the benign process of enteritis cystica profunda.- - - - - - - - - - ranking = 0.33333333333333keywords = enteritis (Clic here for more details about this article) |
10/18. Ileal disease associated with spinal irradiation for ankylosing spondylitis.A case of ileitis, clinically resembling regional enteritis, but almost certainly due to previous spinal irradiation for ankylosing spondylitis is described.- - - - - - - - - - ranking = 0.16666666666667keywords = enteritis (Clic here for more details about this article) |
| | Next -> |