A 42-year-old female was admitted with complaints of colicky abdominal pain and bilious vomiting of 1 day duration. On examination, her vital parameters were within normal limits. Abdominal examination showed a distended abdomen with sluggish bowel sounds. Her hematological parameters were within normal limits. An erect and supine X-ray of her abdomen revealed few air fluid levels involving the small bowel. There were multiple radiopaque shadows seen in the pelvis [ Figure 1]. Ultrasonography of the abdomen showed small bowel loops with sluggish peristalsis and a single gall bladder calculi of 15 mm. A computed tomography (CT) scan with i.v. and oral contrast was done to rule out gall stone ileus. CT scan revealed features of subacute intestinal obstruction along with enteroliths in the lumen of the small bowel and cholelithiasis [ Figure 2]. Patient was kept nil by mouth and started on intravenous fluids. A Ryle's tube was inserted and the patient was monitored without any surgical intervention. The patient showed significant improvement on the next SUMMARY Eosinophilic enteritis is an uncommon disease characterized by eosinophilic infiltration involving any layer of the bowel wall. It can affect any area of gastrointestinal tract although stomach and small intestine are sites most frequently involved. It is important to recognize this disease and institute the necessary treatment at the earliest in order to avoid its complications. We present a case where the patient presented with features of subacute intestinal obstruction due to distal ileal strictures and enteroliths. Histopathologic examination of the resected specimen revealed characteristic features of eosinophilic enteritis.
BACKGROUNDHistopathological examination of endoscopic biopsies is the easiest way to diagnose the gastro intestinal tract (GIT) disorders. This study deals with histopathological evaluation of 60 Gastrointestinal Tract (GIT) endoscopic biopsies carried out between
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