title: Eosinophilic ascites, as a rare presentation of eosinophilic gastroenteritis.
abstract: BACKGROUND
  Eosinophilic ascites is the most unusual presentation of eosinophilic gastroenteritis (EGE), caused by edema and eosinophilic inflammation of the small bowel wall's serosal layer.
  
  
  METHODS
  We report the case of a 37-year-old woman, who presented with diffuse abdominal pain, nausea, abdominal distension, moderate ascites and diarrhea of two weeks duration. The rest of physical and clinical examination was unremarkable, and her past medical history was uneventful. Magnetic Resonance Imaging showed the presence of ascites and diffuse thickening of small bowel wall, but did not detect a primary malignancy in the abdominal cavity; and no signs of portal hypertension or liver damage. Laboratory test results revealed essential peripheral blood eosinophilia, elevated serum IgE and marked increase of eosinophils in the abdominal fluid. Treatment with corticosteroids normalized laboratory tests results, and the ascites resolved immediately.
  
  
  CONCLUSIONS
  EGE is a rare entity and it should be kept in mind in patients of unexplained ascites. The absence of primary malignancy on imaging, coupled with marked increase of fluid esinophilia and immediate response to treatment with steroids, confirm indirectly the diagnosis of EGE. Hippokratia 2014; 18 (3): 275-277.
authors.affiliation: Department of Gastro-Hepatology, Radiology, Laboratory, University Hospital Center "Mother Teresa", Tirana, Albania.
authors.forename: L
authors.initials: L
authors.lastname: Cuko
authors.affiliation: Department of Gastro-Hepatology, Radiology, Laboratory, University Hospital Center "Mother Teresa", Tirana, Albania.
authors.forename: F
authors.initials: F
authors.lastname: Bilaj
authors.affiliation: Department of Gastro-Hepatology, Radiology, Laboratory, University Hospital Center "Mother Teresa", Tirana, Albania.
authors.forename: B
authors.initials: B
authors.lastname: Bega
authors.affiliation: Department of Gastro-Hepatology, Radiology, Laboratory, University Hospital Center "Mother Teresa", Tirana, Albania.
authors.forename: A
authors.initials: A
authors.lastname: Barbullushi
authors.affiliation: Department of Gastro-Hepatology, Radiology, Laboratory, University Hospital Center "Mother Teresa", Tirana, Albania.
authors.forename: B
authors.initials: B
authors.lastname: Resuli
keywords: Eosinophilic gastroenteritis; ascites; corticosteroids; magnetic resonance imaging