[Eosinophilic gastroenteritis with serosa involvement. A rare differential diagnosis of ascites].
A 21 year old caucasian male suffered for 14 days from cramping abdominal pain, associated with nausea and vomiting. 6 weeks later he was admitted to our hospital because of rapidly increasing ascites. Further examinations led to the following decisive findings: Marked eosinophilia in the white cell count; marked eosinophilia in protein rich ascitic fluid; infiltration of serosal layer with eosinophils; no evidence for parasites in blood, faeces and ascites in multiple probes; no evidence for malignant or rheumatoid disease. Histology and cytology of probes obtained at laparoscopy led to the diagnosis of eosinophilic gastroenteritis with ascites. After low dose prednisolone therapy we observed a complete relief of symptoms and ascites disappeared.
Wächter
B
B
I. Medizinische Klinik, Johannes-Gutenberg-Universität Mainz, Bundesrepublik Deutschland.
Jäger-Arand
E
E
Engers
R
R
Meyer zum Büschenfelde
K H
KH
Manns
M
M
D000328:Adult; D001201:Ascites / Q000209:etiology* / Q000473:pathology; D016099:Endoscopy, Gastrointestinal; D004802:Eosinophilia / Q000150:complications* / Q000473:pathology; D004804:Eosinophils / Q000473:pathology; D005759:Gastroenteritis / Q000150:complications* / Q000473:pathology; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D010535:Laparoscopy; D008297:Male; D010537:Peritoneum / Q000473:pathology