Abstract
A 66-year-old man was being treated for bronchial asthma since May, 2001. In September, 2008 he developed numbness of his limbs, muscular fatigue and a decrease in appetite. He was found to have an eosinophilia and was diagnosed as having Churg-Strauss syndrome (CSS) in November. He developed abdominal pain in April, 2009 while on maintenance steroid therapy. X-ray and computed tomography showed intraperitoneal free air, necessitating emergency surgery for perforation of the GI tract. At surgery a small intestinal perforation was noted 90 cm to the terminal ileum ; a partial intestinal resection was done. We report a CSS patient who developed a small intestinal perforation.