Ascites Due to Subserosal Type of Eosinophilic Gastroenteritis: A Case Report

Abstract

Eosinophilic gastroenteritis (EGE) is an uncommon disease characterized by eosinophilic infiltration of the gastrointestinal tract. It is most often a component of systemic eosinophilia. EGE may involve more than one layer of the gastrointestinal tract (mucosa, muscle layer or serosa). Clinical manifestations depend on the layer and location of infiltration. Mucosal involvement leads to protein-losing enteropathy and malabsorption. Involvement of the muscle layer typically produces intestinal obstruction. Subserosal infiltration causes eosinophilic ascites. I present a 51 year old male patient with progressive ascites due to subserosal type of EGE which was diagnosed after complete history, examinations and investigation. Patient was treated with prednisolone with marvellous response. Ascites disappeared completely with steroid therapy.