Acute eosinophilic appendicitis in a case of chronic abdominal pain

R Nagamahendran¹, Smriti Mathur², Vaibhav Dubey³, Sourabh Bhutani⁴

DOI: 10.32677/yjm.v2i3.4252

DOI URL: https://doi.org/10.32677/yjm.v2i3.4252

Publish Date: 19-12-2023

Pages: 182 - 183

Views: 1

Downloads: 4

Author Affiliation:

¹Assistant Professor, Department of Surgery, 
^2,3Assistant Professor, Department of Pathology, Institute of Naval Medicine, INHS Asvini, Mumbai, Maharashtra, 4Assistant Professor Marine Medicine and Commanding Officer, INHS Sandhani, India

Abstract

Acute appendicitis is one of the most common surgical emergencies worldwide [1]. Although the etiology is multifactorial, direct luminal obstruction mainly by a fecalith is reported to be the primary and principal cause. Acute eosinophilic appendicitis (AEA) was first described in 1997 by Aravindan et al. described as a rare variant of acute appendicitis [2]. With more research, they proposed that a type I hypersensitivity reaction may be the underlying cause. Prior to histopathologic analysis, it may be difficult to distinguish AEA from conventional acute appendicitis because these two conditions are often similar in their clinical presentation, laboratory results, and radiographic features.