Eosinophilic cystitis and enteritis

Case contributed by Dr Heba Abdelmonem

Presentation

Recurrent abdominal pain with dysphagia. WBCs count demonstrate elevated eosinophilic count

Patient Data

Age: 35 years
Gender: Male

Abnormally dilated lumen of the thoracic part of esophagus with mural wall thickening measures 14 mm in maximum thickness.  Long segment mural edema of small bowel (jejunal) with attenuated lumen. No abnormally dilated bowel loops.

Abnormal circumferential bladder wall thickening with minimal mural edema of both ureters with peri-ureteric fat stranding.

Mild amount of free abdominal fluid.

Case Discussion

CT showed bifocal segmental gastroenterocolic tract wall thickening including the thoracic esophagus and the jejunum, with fat surrounding and mild ascites associated with diffuse, circumferential bladder wall thickening.

The diagnosis was supported by elevated WBCs count.

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