Colitis eosinofílica perforada / Perforated eosinophilic colitis

RESUMEN

Se presenta el caso de una paciente con colitis eosinofílica perforada que requirió manejo quirúrgico, se confirmó diagnóstico con biopsia y evolucionó satisfactoriamente. La enteritis eosinofílica es un trastorno que compromete el tracto gastrointestinal secundario a la infiltración de sus capas por eosinófilos y forma parte de un complejo de enfermedades emergentes. Fue descrita en forma reciente y presenta una amplia gama de sintomatología, que mimetiza y simula diagnósticos de mayor incidencia y por tanto de mayor sospecha. Actualmente es parte de las posibilidades a evaluar en pacientes con patología gastrointestinal, amplio rango que incluye aquellas que ameritan manejo sintomático y estudios para su determinación etiológica, y en el extremo opuesto aquellas que requieren manejo quirúrgico estableciendo su diagnóstico posteriormente.

ABSTRACT

This is the presentation of a perforated eosinophilic colitis’s case which required surgical handle and was confirmed the diagnosis with biopsy and had a satisfactory evolution. Eosinophilic enteritis is a disorder that involves the gastrointestinal tract secondary to eosinophils infiltration of its layers and form part of an emerging disease complex. It was described recently and presents a wide range of symptoms, mimics and simulates highest incidence diagnosis and therefore more suspected. Currently, it is one of the possibilities to evaluate in patients with gut pathology, a wide range that include those that need symptomatic handle and studies for its etiological determination, and in the other side those which required surgical treatment establish the diagnosis later on.