Case Reports in Gastrointestinal Medicine with extension through the muscularis mucosa into the submucosa. Crypt abscesses and lymphonodular hyperplasia may also be evident [10]. Treatment of EC has not been well established due to the low numbers of reported cases worldwide. In neonates, there has been some beneﬁcial eﬀect of withdrawing speciﬁc food triggers for cases with food allergies; however, in adults, the response of dietary modiﬁcation is less clearer. In patients who present with abdominal symptoms, ﬁrstly indications for surgical exploration must be ruled out, such as free intraabdominal air, volvulus, obstruction, or peritonitis. Patients who present as such should be urgently brought to the operating theater for a laparotomy and assessment of the bowel intraoperatively, and resection with or without primary anastomosis depending on the intraoperative ﬁndings. In all other patients with no such indications, corticosteroids have been found to be eﬀective for symptom control in EC [11, 12]. The majority of cases respond within 2 weeks of treatment; however, relapse is frequent and may require recurrent courses which may lead to steroid dependence. Budesonide has been shown to be eﬀective in cases of EC, particularly in the right colon [13]. However, it must be emphasized again that surgical indications, as well as parasitic infection and drug causes, are essential to be ruled out before starting corticosteroids, as in these cases, treatment will certainly worsen the patient’s condition. In the above-mentioned case, the patient was extensively worked up and treated empirically for various infective causes of haemorrhagic colitis. Unfortunately, he rapidly deteriorated and developed ischaemic haemorrhagic bowel which necessitated emergency surgery, only after which the diagnosis of eosinophilic colitis was made on histological examination of the resected specimen. 4. Conclusion Eosinophilic colitis is a rare condition. It may present acutely and give rise to potentially severe and fatal complications like haemorrhage and perforation. With early diagnosis and appropriate treatment, we may be able to avoid serious complications in such patients. References [1] N. Okpara, B. Aswad, and G. Baﬀy, “Eosinophilic colitis,” World Journal of Gastroenterology, vol. 15, no. 24, pp. 2975– 2979, 2009. [2] G. Y. Ong, C. C. Hsu, C. S. Changchien, S. N. Lu, and S. C. Huang, “Eosinophilic gastroenteritis involving the distal small intestine and proximal colon,” Chang Gung Medical Journal, vol. 25, no. 1, pp. 56–61, 2002. [3] R. Kaiser, “Zur Kenntnis der allergischen aﬀektionen des verdauungskanals vom standput des chirurgen aus,” Archiv fur Klinische Chirugie, vol. 188, pp. 36–64, 1937. [4] J. R. Guajardo, L. M. Plotnick, J. M. Fende, M. H. Collins, P. E. Putnam, and M. E. Rothenberg, “Eosinophil-associated gastrointestinal disorders: a world-wide-web based registry,” Journal of Pediatrics, vol. 141, no. 4, pp. 576–581, 2002. 3 [5] M. E. Rothenberg, “Eosinophilic gastrointestinal disorders (EGID),” Journal of Allergy and Clinical Immunology, vol. 113, no. 1, pp. 11–28, 2004. [6] R. E. Clouse, D. H. Alpers, D. M. Hockenbery, and K. DeSchryver-Kecskemeti, “Pericrypt eosinophilic enterocolitis and chronic diarrhea,” Gastroenterology, vol. 103, no. 1, pp. 168–176, 1992. [7] W. G. Shin, C. H. Park, Y. S. Lee et al., “Eosinophilic enteritis presenting as intussusception in adult,” Korean Journal of Internal Medicine, vol. 22, no. 1, pp. 13–17, 2007. [8] O. Minciu, D. Wegmann, and J. O. Gebbers, “Eosinophilic colitis—a rare cause of acute abdomen,” Schweizerische Medi- zinische Wochenschrift, vol. 122, no. 38, pp. 1402–1408, 1992. [9] L. P. Kravis, M. A. South, and M. L. Rosenlund, “Eosinophilic gastroenteritis in the pediatric patient,” Clinical Pediatrics, vol. 21, no. 12, pp. 713–717, 1982. [10] J. Guajardo and M. E. Rothenberg, “Eosinophilic esophagitis, gastroenteritis, gastroenterocolitis and colitis,” in Food Allergy: Adverse Reactions of Foods and Additives, pp. 217–226, Black- well Publishing, Oxford, UK, 2008. [11] M. J. Chen, C. H. Chu, S. C. Lin, S. C. Shih, and T. E. Wang, “Eosinophilic gastroenteritis: clinical experience with 15 patients,” World Journal of Gastroenterology, vol. 9, no. 12, pp. 2813–2816, 2003. [12] S. Khan, “Eosinophilic gastroenteritis,” Best Practice and Research, vol. 19, no. 2, pp. 177–198, 2005. [13] A. C. I. T. L. Tan, J. W. Kruimel, and T. H. J. Naber, “Eosinophilic gastroenteritis treated with non-enteric-coated budesonide tablets,” European Journal of Gastroenterology and Hepatology, vol. 13, no. 4, pp. 425–427, 2001.