ACUTE EOSINOPHILIC APPENDICITIS PRESENTING BY LOWER GASTRO-INTESTINAL BLEEDING.
Basim Abdulrazzak Felemban
, Suleiman Jastaniah
, Nawaf H. Fatani
, Sawsan A. Khan
and Amal Ali Hassan.
- Consultant Interventional Radiologist and Abdominal Imaging – Al-Noor Specialist Hospital, Makkah, K.S.A.
- Associate Prof. of Surgery – Medical College Umm Al-Qura University, Consultant General Surgery – Al-Noor Specialist Hospital, Makkah, K.S.A.
- MBBS, Faculty of Medicine, Umm Al-Qura University, Makkah, K.S.A.
- Assistant Prof. Histopathology Faculty of Medicine, AlAzharUniversity, Consultant Histopathology Al-Noor Specialist Hospital, Makkah, K.S.A.
- Abstract
- Keywords
- References
- Cite This Article as
- Corresponding Author
Acute eosinophilic appendicitis is a rare type of appendicitis where the inflamed appendix infiltrates by eosinophil rather than neutrophil in the mascularispropria accompanied by edema. Associated with type 1 hypersensitivity that may affect any part of the gastrointestinal track. Acute eosinophilic appendicitis similar to the classical appendicitis in symptoms. However, massive lower gastrointestinal bleeding with appendiceal origin considers a rare presentation of acute appendicitis. Different modalities are needed to reach the definitive diagnosis and identification of the bleeding site. We report a 51-year-old with appendiceal hemorrhage due to acute eosinophilic appendicitis. The Diagnosis was made by a multidisciplinary approach. The patient underwent upper and lower endoscopy, which wasinconclusive. Therefore a computerized tomography scanwas done to the patient to identify the source of bleeding. A right hemicolectomy was performed and the histopathology showed an acutely inflamed appendix with eosinophilic infiltration.
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[Basim Abdulrazzak Felemban, Suleiman Jastaniah, Nawaf H. Fatani, Sawsan A. Khan and Amal Ali Hassan. (2017); ACUTE EOSINOPHILIC APPENDICITIS PRESENTING BY LOWER GASTRO-INTESTINAL BLEEDING. Int. J. of Adv. Res. 5 (Mar). 1327-1332] (ISSN 2320-5407). www.journalijar.com
MBBS, Faculty of Medicine, Umm Al-Qura University, Makkah, K.S.A.
