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Case Reports
. 2023 Dec;79(Suppl 1):S283-S287.
doi: 10.1016/j.mjafi.2021.10.005. Epub 2021 Nov 24.

Eosinophilic gastroenteritis as an uncommon cause of ascites recurrence in a young female

Rajat Shukla  1 , Rachana Warrier  2 , Neeraj Sharma  3 , Kunal Kumar  3 , Sumeet Arora  4 , Nalin Singh  5
Affiliations
Case Reports

Eosinophilic gastroenteritis as an uncommon cause of ascites recurrence in a young female

Rajat Shukla et al. Med J Armed Forces India. 2023 Dec.

Abstract

Ascites appear as a clinical manifestation of various disorders, and the presence of raised levels of eosinophils in the peritoneal fluid characterizes eosinophilic ascites, which is an extremely rare disorder. Eosinophilic gastroenteritis is one of the uncommon causes of ascites. If not investigated thoroughly, ascites recurrence in a young female with a history of tuberculosis may be wrongly attributed to tuberculosis recurrence in an endemic country. The etiology of ascites in our case was correctly identified as the subserosal form of eosinophilic ascites. Oral corticosteroids form the mainstay of treatment in such cases. Eosinophilic gastroenteritis is a rare disease, but a thorough workup and a strong clinical suspicion may help in the successful diagnosis and treatment of such cases.

Keywords: Abdominal tuberculosis; Corticosteroids; Eosinophilic ascites; Eosinophilic gastroenteritis; Peripheral eosinophilia.

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Conflict of interest statement

The authors have none to declare.

Figures

Fig. 1
Fig. 1
Ascites with irregular bowel wall thickening.
Fig. 2
Fig. 2
Ascites with normal hepatic echotexture.
Fig. 3
Fig. 3
Ascites with normal-appearing ovaries and irregular bowel wall thickening.
Fig. 4
Fig. 4
Eosinophil predominant ascitic fluid (at 40× magnification).
See this image and copyright information in PMC

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