Abstract
Eosinophilic ascites is a rare presentation of eosinophilic gastroenteritis (EGE), a rare condition first described by Kaijser, in 1937; Hundreds of cases have been reported. EGE affects both adults and children. EGE was defined by the presence of gastrointestinal symptoms with an abnormal eosinophilic infiltrate of the intestine wall and exclusion of other causes of secondary eosinophilic infiltration; EGE has 3 clinical presentations depending on the depth of eosinophilic infiltration of the bowel wall. The mucosal form (44% of EGE cases) is associated with diarrhoea, malabsorption, protein-losing enteropathy or bleeding. The muscular form (12% of cases) corresponds to eosinophilic infiltration of the muscular layer and may result in acute obstruction. The serosal form (39% of EGE cases) and may result in eosinophilic ascites (21%).
Highlights
Eosinophilic ascites is a rare presentation of eosinophilic gastroenteritis (EGE), a rare condition first described by Kaijser, in 1937; Hundreds of cases have been reported [1]
EGE is defined by the presence of gastrointestinal symptoms with an abnormal eosinophilic infiltrate of the intestine wall and exclusion of other causes of secondary eosinophilic infiltration; EGE has 3 clinical presentations depending on the depth of eosinophilic infiltration of the bowel wall [1,2,3,4]
Our patient had the serosal form of EGE with eosinophilic ascites because of peripheral blood eosinophilia, an eosinophilic infiltrate of the omentum, exclusion of alternative diagnoses and excellent response to steroid treatment
Summary
Eosinophilic ascites is a rare presentation of eosinophilic gastroenteritis (EGE), a rare condition first described by Kaijser, in 1937; Hundreds of cases have been reported [1]. *Corresponding author: Sara Melboucy-Belkhir, Department of Internal Medicine, Centre Hospitalier de Saint-Quentin, 1 Avenue Michel de l’Hospital, 02321, Saint-Quentin, France, Fax: 003323067044, E-mail: melboucysara@yahoo.fr The muscular form (12% of cases [4]) corresponds to eosinophilic infiltration of the muscular layer and may result in acute obstruction. The serosal form (39% of EGE cases [4]) may result in eosinophilic ascites (21%).
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