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Ahn, Kim, Chung, Chang, Lim, and Lee: Serosal Type Eosinophilic Gastroenteritis
Case Report

The Ewha Medical Journal 2014; 37(2): 126-130.

Published online: 30 September 2014

DOI: https://doi.org/10.12771/emj.2014.37.2.126

Serosal Type Eosinophilic Gastroenteritis

So Young Ahn, Tae Hun Kim, Min Kyung Chung, Ji Young Chang, Soo Kyung Lim, Ko Eun Lee

Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea.

Corresponding author: Tae Hun Kim. Department of Internal Medicine, Ewha Womans University Mokdong Hospital, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 158-710, Korea. Tel: 82-2-2650-2724, Fax: 82-2-2655-2076, thkm@ewha.ac.kr

Received 16 March 2014       Accepted 26 June 2014

Copyright © 2014. Ewha Womans University School of Medicine

(open-access):

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.

Abstract

Eosinophilic gastroenteritis is a rare, benign condition, characterized by various gastrointestinal symptoms associated with eosinophilic infiltration of the wall of the any part of the digestive tract, most commonly the stomach and small intestine. Eosinophilic gastroenteritis is generally classified according to the involved layer of the gastrointestinal tract. Serosal type is the rarest form of eosinophilic gastroenteritis that is characteristically accompanied with eosinophilic ascites and responds well to steroid treatment. We have experienced a typical case of serosal type eosinophilic gastroenteritis in a women who complained of abdominal pain. She had peripheral eosinophilia, gastric and small bowel wall thickening with eosionophilic ascites. Her symptom relieved rapidly after starting corticosteroid treatment and she had long been in clinical remission after discontinuation of corticosteroid administration.

Keywords: Eosinophilic gastroenteritis, Serosal type

Figures and Tables

Fig. 1
Abdominopelvic computed tomography (CT) scan findings. The initial CT scan shows wall thickening of small bowel (A), and small amount ascites in the pelvic cavity (B). The CT scan after prednisolone treatment shows interval improvement of wall thickening of small bowel (C), and ascites in the pelvic cavity (D).
emj-37-126-g001
Fig. 2
Endoscopic findings. There are non-specific superficial mucosal erythema on esophagogastroscopy (A) and entire colonic mucosa is normal on colonoscopic examination (B).
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Fig. 3
Small bowel series. It shows coin stacked appearance and multifocal fold thickening and thumb printing of nearly entire jejunum.
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Table 1
Analysis of the reported cases of eosinophilic gastroenteritis last decade
emj-37-126-i001

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