[Eosinophilic gastroenteritis with ascites: a case report].
BACKGROUND
Eosinophilic gastroenteritis is a rare pathology, of undetermined etiology which incidence is in increase. It is characterized by eosinophilic infiltration of the wall of the gastrointestinal tract. Clinical manifestations are very variable and the severity of the clinical picture depends on the site involved and the wall layers infiltrated.


OBJECTIVE
We point out the clinical, evolutionary and therapeutic characteristics of this rare affection.


METHODS
We report the case of a 65 years old man, with the history of allergic asthma. He was admitted for diarrhea associated with vomiting and slimming quantified to 3 kg in 3 weeks. Physical examination noted an edematous-ascitic syndrome. Biology showed the presence of high peripheral eosinophilia. Paracentesis disclosed exudative effusion with high level of eosinophil. The morphological assessment highlighted a segmental parietal thickening of the small intestine and a dense eosinophilic infiltration of the mucosal duodenal layer. The patient was treated by corticotherapy with a favorable evolution.


CONCLUSIONS
Despite its rarity, the diagnosis of gastroenteritis with ascites should be evoked even when the etiologic assessment is negative.
Doggui
Mohamed H
MH
Service de Medecine interne, Hopital FSI, La Marsa, Tunis.
Ben Yaghlène
Lamia
L
Mohsni
Senda
S
Mestiri
Akil
A
Bouguassas
Wessila
W
Ksantini
Imène
I
D000368:Aged; D001201:Ascites / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D004802:Eosinophilia / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005759:Gastroenteritis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D016896:Treatment Outcome
D005938:Glucocorticoids