Ewha Med J.  2014 Sep;37(2):126-130. 10.12771/emj.2014.37.2.126.

Serosal Type Eosinophilic Gastroenteritis

• Ahn SY
• Kim TH
• Chung MK
• Chang JY
• Lim SK
• Lee KE

• KMID: 2171296
• DOI: http://doi.org/10.12771/emj.2014.37.2.126

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.

Keyword

Eosinophilic gastroenteritis; Serosal type

MeSH Terms

Abdominal Pain
Ascites
Eosinophilia
Eosinophils*
Female
Gastroenteritis*
Gastrointestinal Tract
Humans
Intestine, Small
Stomach

Figure

• 

  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).

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  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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