Eosinophilic enteritis presenting as a rare cause for ileo-ileal intussusception

Eosinophilic enteritis, a relatively rare entity, usually involves gastric antrum or proximal small bowel. Our case is rarer in its involvement of the distal small bowel and presents unusually as intussusception. The disease if diagnosed in the initial stages responds well to medical treatment but if associated with complications or misdiagnosed, surgical modality is the treatment of choice. In our case, the patient presented with acute intestinal obstruction due to intussusception and emergency laparotomy with ileoileal anastomolsis was done. Histopathology confirmed the diagnosis as eosinophilic enteritis. This case with such a presentation is discussed here. (c) 2007 WJG. All rights reserved.