Korean J Gastrointest Endosc.  2001 Oct;23(4):245-250.

A Case of Idiopathic Hypereosinophilic Syndrome Accompanied with Intestinal Obstruction

• Joo IK
• Kim HR
• Lee KS
• Park SW
• Jee MK
• Choi HS

Abstract

The idiopathic hypereosinophlic syndrome (HES) is a disease defined by three diagnostic criteria, first, sustained blood eosinophilia is greater than 1,500/mm3 present for longer than 6 months, second, other apparent etiologies for eosinophilia must be absent, including parasitic infection and allergic disease, third, patients must have signs and symptoms of organ involvement. It is associated with cytotoxic granule proteins released by mature eosinophils. HES mainly affects cardiovascular, neurologic, pulmonary system, liver and spleen while low incidence of gastrointestinal involvement is found, and the development of severe complications such as intestinal obstruction after peritonitis or intestinal perforation is extremely rare. We have experienced a case of HES involving hepatic and digestive system, 39 year old man patient who was operated due to intestinal obstruction that was followed by HES, so we report this case with a review of the literature.

Keyword

Hypereosinophilic syndrome; Intestinal obstruction

MeSH Terms

Adult
Digestive System
Eosinophilia
Eosinophils
Humans
Hypereosinophilic Syndrome*
Incidence
Intestinal Obstruction*
Intestinal Perforation
Liver
Peritonitis
Spleen