title: [A case of ischemic colitis induced by hypereosinophilic syndrome].
abstract: A 58-year-old man came to our hospital, complaining of diarrhea and bloody stool of about 2 weeks' duration. Colonoscopic examination showed mucosal edema and bleeding, and irregular ulcer in the transverse colon and sigmoid colon. Laboratory data indicated elevated WBC (22300/mm(3)) and CRP (11.93mg/dl), and hypereosinophilia (30%). We diagnosed ischemic colitis with thrombosis due to hypereosinophilic syndrome. He started medication with prednisolone and heparin. However, after 15 days, he underwent emergency surgery because of perforation of the sigmoid colon. Thrombosis is associated with a high incidence of hypereosinophilia. It is important to consider the possibility of ischemic colitis associated with hypereosinophilic syndrome.
authors.affiliation: Department of Gastroenterology, Anjo Kosei Hospital, Japan.
authors.forename: Yuhei
authors.initials: Y
authors.lastname: Ichikawa
authors.forename: Mamiko
authors.initials: M
authors.lastname: Takeuchi
authors.forename: Masahiko
authors.initials: M
authors.lastname: Yamada
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Hosoi
authors.forename: Tatsuhiko
authors.initials: T
authors.lastname: Mabuchi
authors.forename: Akihisa
authors.initials: A
authors.lastname: Okada
authors.forename: Hideomi
authors.initials: H
authors.lastname: Tomida
authors.forename: Hiroki
authors.initials: H
authors.lastname: Suhara
authors.forename: Toshinari
authors.initials: T
authors.lastname: Koya
authors.forename: Hiroto
authors.initials: H
authors.lastname: Suzuki
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Okada
mesh_terms: D017091:Colitis, Ischemic / Q000209:etiology*; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000145:classification*; D007416:Intestinal Perforation / Q000209:etiology; D008297:Male; D008875:Middle Aged