A rare case of eosinophilic gastrointestinal disorders with short bowel syndrome after strangulated bowel obstruction
Abstract Background Short bowel syndrome (SBS) is a rare yet costly disease with an incidence rate of 3 per million people. Herein, we report a rare case of eosinophilic gastrointestinal disorders (EGIDs) with SBS after strangulated bowel obstruction. Case presentation A 5-year-old male had a necrot...
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Japan Surgical Society
2022-09-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-022-01527-1 |
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| author | Yuhki Arai Yoshiaki Kinoshita Takashi Kobayashi Yoshiaki Takahashi Toshiyuki Ohyama Naoki Yokota Yu Sugai Shoichi Takano Yu Hamasaki Utako Kaneko Satoshi Kanada |
| author_facet | Yuhki Arai Yoshiaki Kinoshita Takashi Kobayashi Yoshiaki Takahashi Toshiyuki Ohyama Naoki Yokota Yu Sugai Shoichi Takano Yu Hamasaki Utako Kaneko Satoshi Kanada |
| author_sort | Yuhki Arai |
| collection | DOAJ |
| description | Abstract Background Short bowel syndrome (SBS) is a rare yet costly disease with an incidence rate of 3 per million people. Herein, we report a rare case of eosinophilic gastrointestinal disorders (EGIDs) with SBS after strangulated bowel obstruction. Case presentation A 5-year-old male had a necrotic intestine of 340 cm resected due to strangulated bowel obstruction caused by an intestinal mesenteric hiatal hernia. The length of the residual intestine was 51 cm. Bloody stools appeared 19 days postoperatively. Colonoscopy showed diffuse redness of the colonic mucosa, and pathological findings showed moderate chronic inflammatory cellular infiltration. On blood examination, the eosinophil count was > 30%. EGIDs with short bowel syndrome (SBS) were suspected. Because his symptoms did not improve with initial nutrition therapy, he was transferred to our hospital 5 months after the operation. Prednisolone was administrated at an initial dose of 1.4 mg/kg/day, 6 days after his transfer. Bloody stools disappeared after prednisolone administration. Seven months after discharge, he had no bloody stool recurrence. Conclusion The risk of developing secondary EGIDs in children with SBS should be considered, and postoperative management should include attention to abdominal symptoms and elevated eosinophil counts on blood examination. |
| format | Article |
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| institution | Matheson Library |
| issn | 2198-7793 |
| language | English |
| publishDate | 2022-09-01 |
| publisher | Japan Surgical Society |
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| series | Surgical Case Reports |
| spelling | doaj-art-bc3aa6e80d7c445da6e2ff3c8230b8e52025-08-02T18:02:43ZengJapan Surgical SocietySurgical Case Reports2198-77932022-09-01811610.1186/s40792-022-01527-1A rare case of eosinophilic gastrointestinal disorders with short bowel syndrome after strangulated bowel obstructionYuhki Arai0Yoshiaki Kinoshita1Takashi Kobayashi2Yoshiaki Takahashi3Toshiyuki Ohyama4Naoki Yokota5Yu Sugai6Shoichi Takano7Yu Hamasaki8Utako Kaneko9Satoshi Kanada10Department of Pediatric Surgery, Niigata University Graduate School of Medical and Dental SciencesDepartment of Pediatric Surgery, Niigata University Graduate School of Medical and Dental SciencesDepartment of Pediatric Surgery, Niigata University Graduate School of Medical and Dental SciencesDepartment of Pediatric Surgery, Niigata University Graduate School of Medical and Dental SciencesDepartment of Pediatric Surgery, Niigata University Graduate School of Medical and Dental SciencesDepartment of Pediatric Surgery, Niigata University Graduate School of Medical and Dental SciencesDepartment of Pediatric Surgery, Niigata University Graduate School of Medical and Dental SciencesDepartment of Pediatric Surgery, Niigata University Graduate School of Medical and Dental SciencesDepartment of Pediatric Surgery, Niigata University Graduate School of Medical and Dental SciencesDepartment of Pediatrics, Niigata University Graduate School of Medical and Dental SciencesDepartment of Pediatric Surgery, Nagaoka Red Cross HospitalAbstract Background Short bowel syndrome (SBS) is a rare yet costly disease with an incidence rate of 3 per million people. Herein, we report a rare case of eosinophilic gastrointestinal disorders (EGIDs) with SBS after strangulated bowel obstruction. Case presentation A 5-year-old male had a necrotic intestine of 340 cm resected due to strangulated bowel obstruction caused by an intestinal mesenteric hiatal hernia. The length of the residual intestine was 51 cm. Bloody stools appeared 19 days postoperatively. Colonoscopy showed diffuse redness of the colonic mucosa, and pathological findings showed moderate chronic inflammatory cellular infiltration. On blood examination, the eosinophil count was > 30%. EGIDs with short bowel syndrome (SBS) were suspected. Because his symptoms did not improve with initial nutrition therapy, he was transferred to our hospital 5 months after the operation. Prednisolone was administrated at an initial dose of 1.4 mg/kg/day, 6 days after his transfer. Bloody stools disappeared after prednisolone administration. Seven months after discharge, he had no bloody stool recurrence. Conclusion The risk of developing secondary EGIDs in children with SBS should be considered, and postoperative management should include attention to abdominal symptoms and elevated eosinophil counts on blood examination.https://doi.org/10.1186/s40792-022-01527-1Eosinophilic gastrointestinal disordersEosinophilic colitisShort bowel syndromePrednisolone |
| spellingShingle | Yuhki Arai Yoshiaki Kinoshita Takashi Kobayashi Yoshiaki Takahashi Toshiyuki Ohyama Naoki Yokota Yu Sugai Shoichi Takano Yu Hamasaki Utako Kaneko Satoshi Kanada A rare case of eosinophilic gastrointestinal disorders with short bowel syndrome after strangulated bowel obstruction Surgical Case Reports Eosinophilic gastrointestinal disorders Eosinophilic colitis Short bowel syndrome Prednisolone |
| title | A rare case of eosinophilic gastrointestinal disorders with short bowel syndrome after strangulated bowel obstruction |
| title_full | A rare case of eosinophilic gastrointestinal disorders with short bowel syndrome after strangulated bowel obstruction |
| title_fullStr | A rare case of eosinophilic gastrointestinal disorders with short bowel syndrome after strangulated bowel obstruction |
| title_full_unstemmed | A rare case of eosinophilic gastrointestinal disorders with short bowel syndrome after strangulated bowel obstruction |
| title_short | A rare case of eosinophilic gastrointestinal disorders with short bowel syndrome after strangulated bowel obstruction |
| title_sort | rare case of eosinophilic gastrointestinal disorders with short bowel syndrome after strangulated bowel obstruction |
| topic | Eosinophilic gastrointestinal disorders Eosinophilic colitis Short bowel syndrome Prednisolone |
| url | https://doi.org/10.1186/s40792-022-01527-1 |
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