Kosin Medical Journal  2011;26(2):191-195

A Case of Eosinophilic Gastroenteritis Diagnosed by Repeated Abdominal Pain with Eosinophilic Ascites and Cystitis.

Soon Il LEE 1 ; Hee Seung PARK ; Byung Kil HA ; Dong Hyun KIM ; Jin Taek YOO ; Sung Ho CHOI

Affiliations

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Keywords

Ascites; Cystitis; Eosinophilic gastroenteritis

Country

Republic of Korea

Language

Korean

Abstract

Eosinophilic gastroenteritis is a relatively uncommondisease of unknown etiology and pathogensis. It is characterized by massive tissue eosinophilia, that can involve any layers of the gastrointestinal tract wall. The gastrointestinal signs and symptoms usually reflect the layer which is most severly affected. Eosinophilic gastroenteritis can be rarely accompanied by extraintestinal involvement. We report a case of a 19-year-old male with repeated epigastric and low abdominal pain. An abdominal computed tomography showed diffused wall thickeningof esophagus, small bowel and bladder with ascites. Esosinophilic infiltration was shown by multiple biopsies of the esophagus, duodenum on esophagogastroduodenoscopy and peritoneal fluid analysis. The patient was diagnosed with eosinophilic gastroenteritis, accompanied by esosinophilic ascites and cystitis and was treated with corticosteroid and ketotifen. Abdominal pain was improved dramatically.