Obscure gastrointestinal bleeding as first symptom of eosinophilic jejunitis in a liver transplant recipient: diagnosis and treatment with single balloon enteroscopy.

Abstract

The small bowel is only partially accessible to traditional endoscopic techniques. The recently introduced push-and-pull enteroscopy technique allows endoscopists to examine the small bowel in its entirety and enables them to take biopsy specimens and administer treatment. We report the case of a liver transplant recipient presenting with obscure gastrointestinal bleeding, whose diagnosis of eosinophilic enteritis was achieved following a single balloon enteroscopy examination. The patient was discharged 3 days after endoscopic treatment. Eosinophilic enteritis is still not a well known disease. The modality of treatment was suggested by our endoscopic experience and not from codified guidelines. The patient's haemoglobin value was normal 12 months after treatment.

• Authors: Riccardo Urgesi, Maria Elena Riccioni, Enrico C Nista, Raffaella Lionetti, Giuseppe Tisone, Pietro Familiari, Riccardo Ricci, Giorgio Pelecca, Mario Angelico, Guido Costamagna
• Journal: BMJ case reports (BMJ Case Rep) Vol. 2010 ( 2010) ISSN: 1757-790X [Electronic] England
• PMID: 22448186 (Publication Type: Journal Article)