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Aims Abdominal pain presents frequently to the acute general surgical take with a huge variation in nature and, most importantly, in cause. The large number of common diagnoses are frequently discussed however, we present the case of a young lady with the uncommon diagnosis of eosinophilic enteritis as a primary presentation of lower abdominal pain. Here we present her case and review the current literature surrounding this condition and the group of conditions causing eosinophilia in the gastrointestinal tract. Methods A search of PubMed was performed, looking for research published within the last 50 years, regarding human subjects and published in English. This identified 16 review papers and 18 case reports. From these, current recommendations regarding investigation, diagnosis, management and follow up was assessed. We reviewed our case using clinical notes, clinic letters and investigations to evaluate our management of this case.  Results Our case represents an unusual case where not only did our patient suffer eosinophilic enteritis (the least reported of these group of conditions) but they also underwent surgery to reach diagnosis. Our review of the literature revealed that although our lady presented in an unusual fashion, this may well have prevented months of investigation.  Conclusions Eosinophilic enteritis is a rare condition, unusually seen or managed by surgeons. An awareness of this diagnosis and group of conditions is useful in the acute surgical setting as another differential for a common presentation. In our presented case, multidisciplinary management resulted in a swift diagnosis and favourable outcome for this patient.

EP.FRI.277 A Young Lady with Lower Abdominal Pain. Eosinophillic Enteritis; an uncommon cause for a common symptom