A 35-year-old male presented to our hospital with acute onset abdominal pain. He was diagnosed with intestinal obstruction due to marked thickening of the small intestinal wall found on abdominal CT. An ileus tube was inserted and decompression therapy was performed, but there was no improvement of abdominal pain. Therefore, the patient was diagnosed with strangulated bowel obstruction and emergency surgery was performed. Intraoperative findings showed a stenosis of approximately 7 cm with circumferential thickening and erythema of the ileal wall approximately 150 cm from the terminal ileum, and partial resection of the small intestine was performed. Pathological findings showed a high infiltrate of inflammatory cells, mainly eosinophils, from the submucosa to the subserosa. A diagnosis of eosinophilic gastroenteritis was made based on the clinical course and pathological findings. We report this case as an example of intestinal obstruction due to eosinophilic gastroenteritis.
: A 69-year-old man with a right inguinal mass was admitted on January 23, 2002. He underwent an ileocecal excision for treatment of cecum cancer (pT3 N1 MO) in December 2000. The mass contained a cystic component and had a saccular tumor protruding from the inner wall. The operative findings revealed that the mass extruded from the external inguinal ring, and a modified Bassini's operation was performed on February 1, 2002. The cystic component was completely separated from the peritoneal cavity, and was found to contain high levels of CEA and CA19-9. Pathological examination revealed that this saccular tumor was an adenocarcinoma similar to that seen in cecum cancer. Saccular tumors originating from cecum cancer are very rare and the prognosis is usually poor. However, the prognosis for the case reported in this study was favorable, and recurrence was still not seen 33 months after surgery. The possibility of peritoneal metastasis should be considered in inguinal hernia patients with a history of intraperitoneal malignancy.
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