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Hong, Jeong, Park, Lee, Lee, Woo, and You: Eosinophilic Enteritis with Eosinophilic Ascites without Eosinophilia
Case Report

The Ewha Medical Journal 2013; 36(Suppl): S14-S16.

Published online: 23 December 2013

DOI: https://doi.org/10.12771/emj.2013.36.S.S14

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

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 26 July 2013       Accepted 22 October 2013

Copyright © 2013. 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 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

Figures and Tables

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
Fig. 2
Colonoscopic finding. It shows normal ileocecal valve areas.
emj-36-S14-g002
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

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