[A case of eosinophilic gastroenteritis complicated with ileus and ascites collection].
A 30-year-old woman was admitted to our hospital because of ileus and ascites. Laboratory data on admission demonstrated marked eosinophilia (42.5% of WBC) but negative CRP-value. Abdominal CT showed marked ascites and diffuse thickening of intestinal walls. Ascites examination revealed eosinophilic ascites. The level of IL-5 both in the serum and in the ascites were also high. No evidence of eosinophilic infiltration was noted both gastric and colonic mucosal biopsy specimens. Oral prednisolone treatment (50 mg/day) was effective for her. We diagnosed her as a case of sub-serosal type eosinophilic gastroenteritis. It is essential to obtain eosinophilic ascites for correct diagnosis of the disease. And it is possible that serum and ascites IL-5 value would be reliable indicator of the activity of this disease.
To
Y
Y
Department of Allergy and Respiratory Medicine, Do-ai Memorial Hospital.
Ogawa
C
C
Otomo
M
M
Arai
Y
Y
Sano
Y
Y
Tashiro
Y
Y
Furuta
K
K
Wakabayashi
K
K
Ito
K
K
D000328:Adult; D001201:Ascites / Q000150:complications*; D004802:Eosinophilia / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005759:Gastroenteritis / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications*