ACUTE EOSINOPHILIC APPENDICITIS PRESENTING BY LOWER GASTRO-INTESTINAL BLEEDING.

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.