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Case Report

Eosinophilic Enteritis with Eosinophilic Ascites without Eosinophilia

Seung Hyun Hong, Jae Yoon Jeong, Suk Joon Park, Jang Ook Lee, Sung Yoon Lee, Seung Min Woo, Hyun Joo You1
The Ewha Medical Journal 2013;36(Suppl):S14-S16. Published online: December 23, 2013

Department of Internal Medicine, Daerim Saint Mary's Hospital, Seoul, Korea.

1Department of Pathology, Daerim Saint Mary's Hospital, Seoul, Korea.

Corresponding author: Jae Yoon Jeong. Department of Internal Medicine, Daerim Saint Mary's Hospital, 657, Siheung-daero, Yeongdeungpo-gu, Seoul 150-822, Korea. Tel: 82-2-829-9308, Fax: 82-2-829-9299, jyjeong76@hanmail.net
• Received: July 26, 2013   • Accepted: October 22, 2013

Copyright © 2013. Ewha Womans University School of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Eosinophilic enteritis is an uncommon disease of unknown cause characterized by eosinophilic infiltration in various areas of the gastrointestinal tract with symptoms. It is generally classified according to the layer of the gastrointestinal tract involved. Eosinophilic infiltration of the serosa is the rarest form of presentation and may manifest eosinophilic ascites. We report a case of a 47-year-old man who experienced progressing abdominal pain. A diffuse erythematous change of the gastric mucosa was observed on gastrofibroscopy. An abdominal computed tomography and colonoscopy showed diffuse wall thickening of the small bowel and colon with a small amount of ascites. Eosinophilic infiltration was confirmed by multiple biopsies of the gastrointestinal tract and peritoneal fluid analysis. The patient was treated with corticosteroid and responded dramatically.
  • Keywords: Eosinophilia; Eosinophilic ascites; Eosinophilic enteritis; Serosal eosinophilic enteritis
  • 1. Feldman M, Friedman LS, Sleisenger MH. Sleisenger and Fordtran's gastrointestinal and liver disease: pathophysiology, diagnosis, management; 7th ed. Philadelphia, PA: WB Saunders; 2002.
  • 2. Kuri K, Lee M. Eosinophilic gastroenteritis manifesting with ascites. South Med J 1994;87:956-957.
  • 3. Cello JP. Eosinophilic gastroenteritis: a complex disease entity. Am J Med 1979;67:1097-1104.
  • 4. Kim NI, Jo YJ, Song MH, Kim SH, Kim TH, Park YS, et al. Clinical features of eosinophilic gastroenteritis. Korean J Gastroenterol 2004;44:217-223.
  • 5. Caldwell JH, Mekhjian HS, Hurtubise PE, Beman FM. Eosinophilic gastroenteritis with obstruction. Immunological studies of seven patients. Gastroenterology 1978;74(5 Pt 1):825-828.
  • 6. Fenoglio LM, Benedetti V, Rossi C, Anania A, Wulhfard K, Trapani M, et al. Eosinophilic gastroenteritis with ascites: a case report and review of the literature. Dig Dis Sci 2003;48:1013-1020.
  • 7. Rothenberg ME. Eosinophilic gastrointestinal disorders (EGID). J Allergy Clin Immunol 2004;113:11-28.
Fig. 1
Abdominal computed tomography finding. It shows diffuse wall thickening of ascending colon, cecum and ileum (enterocolitis) with small amount of ascites.
emj-36-S14-g001.jpg
Fig. 2
Colonoscopic finding. It shows normal ileocecal valve areas.
emj-36-S14-g002.jpg
Fig. 3
Pathologic finding of specimen from a laparoscopic mesenteric biopsy. It shows aggregates of eosinophils within the muscularis propria (H&E, ×600).
emj-36-S14-g003.jpg

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      Eosinophilic Enteritis with Eosinophilic Ascites without Eosinophilia
      Ewha Med J. 2013;36(Suppl):S14-S16.   Published online December 23, 2013
      DOI: https://doi.org/10.12771/emj.2013.36.S.S14
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      Eosinophilic Enteritis with Eosinophilic Ascites without Eosinophilia
      Ewha Med J. 2013;36(Suppl):S14-S16.   Published online December 23, 2013
      DOI: https://doi.org/10.12771/emj.2013.36.S.S14
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      Eosinophilic Enteritis with Eosinophilic Ascites without Eosinophilia
      Image Image Image
      Fig. 1 Abdominal computed tomography finding. It shows diffuse wall thickening of ascending colon, cecum and ileum (enterocolitis) with small amount of ascites.
      Fig. 2 Colonoscopic finding. It shows normal ileocecal valve areas.
      Fig. 3 Pathologic finding of specimen from a laparoscopic mesenteric biopsy. It shows aggregates of eosinophils within the muscularis propria (H&E, ×600).

      Fig. 1

      Fig. 2

      Fig. 3

      Eosinophilic Enteritis with Eosinophilic Ascites without Eosinophilia
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