1 |
16 |
F |
Rectal bleeding, abdominal pain |
Focal cecal haustral thickening |
|
Normal terminal ileum, 90 eosinophils/high-power field in cecum/ascending colon, 40 eosinophils/high-power field in transverse colon/sigmoid. Rectal crypt abscesses and cryptitis |
2 |
1.3 |
F |
Weight loss, fevers, abdominal pain, diarrhea, emesis, peripheral edema |
Normal. No colonic contrast |
|
Increased lymphoid follicles, 60 eosinophils/high-power field, fibrosis |
3 |
12 |
F |
Abdominal pain, anorexia, diarrhea |
Cecal wall hyperenhancement. No colonic contrast |
Mild segmental duodenal and jejunal wall thickening |
Severe colitis, cryptitis, crypt abscess, mixed inflammatory infiltrate of eosinophils, plasma, and lymphocytes |
4 |
2.4 |
M |
Shock, rectal bleeding |
Extensive colonic wall thickening. Extensive pneumatosis from the rectum to ascending colon, most prominent in the rectum |
Moderate terminal ileal wall thickening. Moderate ascites. Moderate bilateral pleural effusion |
Poorly formed granuloma, 50–80 eosinophils/highpower field, acute rectal cryptitis and crypt abscesses |
5 |
10 |
M |
Abdominal pain, bloody diarrhea |
Extensive colonic wall thickening – most severe in the cecum and ascending colon, extending to the descending colon/sigmoid junction |
Mild diffuse mesenteric lymphadenopathy. Small volume of ascites in the pelvis |
Significant eosinophil degranulation, 40–100 eosinophils/high-power field, invading crypts, lamina propria mixed inflammation |
6 |
13 |
M |
Rectal bleeding, abdominal pain, peripheral edema |
Extensive colonic wall thickening, greatest in ascending colon (marked) with downstream involve ment to the mid-sigmoid, focal region in the trans verse colon, sparing of the hepatic flexure |
Mild terminal ileal wall thickening. Small volume of ascites inferior to liver. Moderately enlarged right lower quadrant mesenteric lymphadenopathy |
Positive sigmoid granuloma, 50–75 eosinophils/high-power field, chronic active colitis, cryptitis with mixed inflammatory cells |
7 |
16 |
M |
Abdominal pain, bloody diarrhea |
Focal cecal haustral thickening |
Mild right lower quadrant mesenteric lymphadenopathy |
Severe chronic active colitis, single granuloma, increased eosinophils in lamina propria |