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. Author manuscript; available in PMC: 2013 Nov 3.
Published in final edited form as: Pediatr Radiol. 2013 Jan 30;43(6):10.1007/s00247-012-2615-8. doi: 10.1007/s00247-012-2615-8

Table 1. Patient symptoms, CT imaging findings and pathology in seven children with EC.

Patient Age (years) Gender Symptoms CT colonic findings Other CT findings Pathology
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