title: Abdominal Pain and Ascites: Not Always Related to Portal Hypertension.
abstract: Eosinophilic gastroenteritis is a rare inflammatory disorder of the gastrointestinal tract with an estimated prevalence of one in 100,000. The typical presentation consists of vague gastrointestinal symptoms with the mucosal involvement of the digestive system. Rarely, it presents as eosinophilic ascites. We report the case of a 22-year-old female who presented with acute onset abdominal pain and ascites. The laboratory studies were remarkable for eosinophilia and the ascitic fluid demonstrated high eosinophilic counts. Push enteroscopy with biopsy supported the diagnosis of eosinophilic gastroenteritis, with likely serosal involvement. Other differential diagnoses were excluded. A prednisone taper along with dietary treatment was initiated. We report complete resolution of symptoms two weeks following the initiation of therapy. Nine months later, she remains asymptomatic without recurrence of ascites.
authors.affiliation: Department of Internal Medicine, Kansas University School of Medicine - Wichita.
authors.forename: Fredy
authors.initials: F
authors.lastname: Nehme
authors.affiliation: Department of Medicine and Pediatrics, Kansas University School of Medicine - Wichita.
authors.forename: Gilbert
authors.initials: G
authors.lastname: Kisang
authors.affiliation: Department of Internal Medicine, Kansas University School of Medicine - Wichita.
authors.forename: Michael
authors.initials: M
authors.lastname: Green
authors.affiliation: Department of Medicine and Pediatrics, Kansas University School of Medicine - Wichita.
authors.forename: Nathan
authors.initials: N
authors.lastname: Tofteland
keywords: eosinophilic ascites; eosinophilic gastroenteritis; gastrointestinal disorder