Eosinophilic Myenteric Ganglionitis in a Newborn: Case Report.
Luz F Sua, María Del Mar Conde, Juan Carlos Bravo et al.
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Case in brief
A male newborn presented with intestinal obstruction and was found to have intestinal malrotation. Histology showed colonic ganglion cells surrounded by a moderate eosinophilic infiltrate, consistent with eosinophilic myenteric ganglionitis. After surgical correction and protective diverting ileostomy, he improved progressively. At 18 months, contrast enema showed persistent old contrast medium in the dysfunctional sigmoid rectum, suggesting possible rectal motility impairment.
What made this case unusual
The report describes a newborn with both intestinal malrotation and eosinophilic myenteric ganglionitis, an association the authors identify as previously unreported.
Diagnostic / clinical pearl
In a newborn with obstructive symptoms, histological assessment of the intestinal wall can identify myenteric eosinophilic inflammation even when the clinical picture suggests mechanical obstruction.