Eosinophilic ascites, as a rare manifestation of eosinophilic gastroenteritis: a case report
Yasir Furkan Cagin1, Yılmaz Bilgic2, İlhami Berber3, Mehmet Ali Erdogan2, Oguzhan Yildirim2, Elif Altunel Kilinc4,
Yuksel Seckin2, Aysenur Akatli5
1Malatya Training and Education Hospital Gastroenterology Clinic of, Malatya, Turkey
2Inonu University, Faculty of Medicine, Department of, Gastroenterology, Malatya, Turkey
3Malatya Training and Research Hospital, Hospital Hematology, Clinic of, Malatya, Turkey
4Inonu University, Faculty of Medicine, Department of, Internal, Medical Malatya, Turkey
5Inonu University, Faculty of Medicine, Department of, Pathology, Malatya, Turkey
Eosinophilic ascites (EA) can present as an unusual finding of eosinophilic gastroenteritis. We presented this case to remind eosinophilic acid in cases with unexplained etiology.
A 29-years old man presented to an emergency department with abdominal swelling, progressively worsening nausea, and fatigue over one month. The patient had no history of allergic disease. There was moderate ascites in the physical examination. Percent eosinophil was 60% in peripheral blood smear while IgE level was increased in the serum. There was ascites on abdominal computed tomography (CT) scan. Serum ascites-albumin gradient (SAAG) was non-portal. Eosinophilic infiltration was detected biopsy samples obtained by upper GI tract endoscopy and in bone marrow aspiration and biopsy. The abdominal pain, ascites and all laboratory tests were completely recovered after 12 weeks of prednisolone therapy.
Eosinophilic gastroenteritis should be considered in case of markedly increased eosinophilia in ascites fluid.