Kosin Med J.  2011 Dec;26(2):191-195.

A Case of Eosinophilic Gastroenteritis Diagnosed by Repeated Abdominal Pain with Eosinophilic Ascites and Cystitis

• Lee SI
• Park HS
• Ha BK
• Kim DH
• Yoo JT
• Choi SH

Abstract

Eosinophilic gastroenteritis is a relatively uncommondisease of unknown etiology and pathogensis. It is characterized by massive tissue eosinophilia, that can involve any layers of the gastrointestinal tract wall. The gastrointestinal signs and symptoms usually reflect the layer which is most severly affected. Eosinophilic gastroenteritis can be rarely accompanied by extraintestinal involvement. We report a case of a 19-year-old male with repeated epigastric and low abdominal pain. An abdominal computed tomography showed diffused wall thickeningof esophagus, small bowel and bladder with ascites. Esosinophilic infiltration was shown by multiple biopsies of the esophagus, duodenum on esophagogastroduodenoscopy and peritoneal fluid analysis. The patient was diagnosed with eosinophilic gastroenteritis, accompanied by esosinophilic ascites and cystitis and was treated with corticosteroid and ketotifen. Abdominal pain was improved dramatically.

Keyword

Ascites; Cystitis; Eosinophilic gastroenteritis

MeSH Terms

Abdominal Pain
Ascites
Ascitic Fluid
Biopsy
Cystitis
Duodenum
Endoscopy, Digestive System
Enteritis
Eosinophilia
Eosinophils
Esophagus
Gastritis
Gastroenteritis
Gastrointestinal Tract
Humans
Ketotifen
Male
Urinary Bladder
Young Adult
Enteritis
Eosinophilia
Gastritis
Ketotifen