Presentation
Presents with a 2-year history of abdominal distension. Previous ulcer resection.
Patient Data
The esophagus is dilated. There is severe diffuse gas dilation of the intestinal tract. The stomach is markedly dilated and displaced along the left lateral abdominal wall. A linear row of metallic staples is present within the abdomen compatible with previous surgery.
Impression:
Ileus may be due to neurologic or inflammatory gastrointestinal disease. Megaesophagus. Mild malposition of the stomach may be due to previous surgery and/or distension.
Case Discussion
An exploratory laparotomy was performed and no obstructive lesions were found. Biopsies were taken of the intestine, lymph nodes, and stomach.
There was mild to moderate diffuse lymphoplasmacytic and eosinophilic enteritis, multifocal lymphocytic gastritis and fibrosis, and lymph node lymphocytosis.
Medical and supportive management was implemented.
This case had mild histopathologic changes compared to the severity of the gastrointestinal tract distention.
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