BACKGROUND: Eosinophilic enterocolitis is a rare disorder characterized by abnormal eosinophilic infiltration of the small intestine and the colon. CASE PRESENTATION: We report a case of a 29-year-old White man, who presented with an acute bowel obstruction. He had a history of a 2 months non-bloody diarrhea. An abdominal computed tomography (CT) and a MR enterography showed a multifocal extensive ileitis. White blood cell and eosinophilic polynuclei count was elevated (700/mm3). Ileo-colonoscopy showed normal ileum and segmental petechial colitis. Pathology showed a high eosinophilic infiltration in the colon. The patient was treated with steroids, with a clinical, biological and radiological recovery. CONCLUSION: Eosinophilic enterocolitis should be kept in mind as a rare differential diagnosis in patients presenting with small bowel obstruction.
Colitis , Enterocolitis , Eosinophilia , Male , Humans , Adult , Enterocolitis/diagnosis , Colitis/diagnosis , Colonoscopy , Intestine, Small/pathology , Eosinophilia/diagnosis , Eosinophilia/drug therapy , Eosinophilia/pathology
Castleman's disease is a rare disease characterized by benign lymphoepithelial proliferation. There are two forms: unicentric and multicentric Castleman's disease. Mediastinal location is the most frequent. Intra-abdominal Castleman's disease is a rare presentation. We report a case of 65-year-old female who presented with epigastric pain. Investigations revealed a retroperitoneal mass which was surgically resected. Histopathological examination showed hyaline-vascular type Castleman's disease. In conclusion, Castelman´s disease is a diagnostic challenge and it must be included in the differential diagnosis of retroperitoneal tumors.
Abdominal Pain/etiology , Castleman Disease/diagnosis , Retroperitoneal Neoplasms/diagnosis , Aged , Castleman Disease/surgery , Diagnosis, Differential , Female , Humans , Retroperitoneal Neoplasms/pathology
Systemic diseases should be always considered when managing unexplained intestinal pseudo-obstruction. Intestinal pseudo-obstruction related to systemic lupus erythematosus is often responsive to corticosteroid therapy when promptly treated.
Congresses as Topic , Gastroenterology/organization & administration , Africa, Northern , Communication , Congresses as Topic/standards , Gastroenterology/methods , Gastroenterology/standards , Gastroenterology/trends , Gastrointestinal Diseases/diagnosis , Gastrointestinal Diseases/therapy , Humans , Societies, Medical/organization & administration , Societies, Medical/standards , Societies, Medical/trends , Tunisia
