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Case Reports
. 2025 Feb 3:13:2050313X241312935.
doi: 10.1177/2050313X241312935. eCollection 2025.

Eosinophilic gastroenteritis without identifiable allergens in an adult: A case report

Haisheng Lan  1   2 , Tishang Yang  2 , Li Zhou  2 , Jiansheng Lv  2 , Xvsen Huang  2
Affiliations
Case Reports

Eosinophilic gastroenteritis without identifiable allergens in an adult: A case report

Haisheng Lan et al. SAGE Open Med Case Rep. .

Abstract

Eosinophilic gastrointestinal is an uncommon disorder affecting all tissues of the digestive tract. Eosinophilic gastroenteritis presents with a complex clinical profile, lacks specificity, and is prone to misdiagnosis in patients without evident allergens. In some instances, it is mistaken for an acute abdomen or a gastrointestinal tumor, potentially leading to unnecessary surgical interventions. We present the case of a 21-year-old female with eosinophilic gastroenteritis whose primary clinical manifestations were abdominal pain and ascites.

Keywords: Eosinophilic gastroenteritis; ascites; corticosteroid.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Shows ascites from a diagnostic puncture of the abdominal cavity.
Figure 2.
Figure 2.
Shows a bone marrow aspiration biopsy.
Figure 3.
Figure 3.
Computed tomography of the abdomen demonstrated abdomen ascites.
Figure 4.
Figure 4.
Computed tomography of the abdomen demonstrates thickening of the bowel wall.
Figure 5.
Figure 5.
Endoscopic manifestations of esophageal mucosa.
Figure 6.
Figure 6.
Endoscopic pathological biopsy results of esophageal mucosa.
Figure 7.
Figure 7.
Endoscopic manifestations of gastric mucosa.
Figure 8.
Figure 8.
Endoscopic pathological biopsy results of gastric mucosa.
Figure 9.
Figure 9.
Endoscopic manifestations of terminal ileal mucosa.
Figure 10.
Figure 10.
Endoscopic pathological biopsy results of terminal ileal mucosa.
Figure 11.
Figure 11.
Endoscopic manifestations of transverse colon mucosa.
Figure 12.
Figure 12.
Endoscopic pathological biopsy results of transverse colon mucosa.
See this image and copyright information in PMC

References

    1. Collins MH. Histopathology associated with eosinophilic gastrointestinal diseases. Immunol Allergy Clin North Am 2009; 29(1): 109–117. - PubMed
    1. Pesek RD, Gupta SK. Future therapies for eosinophilic gastrointestinal disorders. Ann Allergy Asthma Immunol 2020; 124(3): 219–226. - PubMed
    1. Stone KD, Prussin C. Immunomodulatory therapy of eosinophil-associated gastrointestinal diseases. Clin Exp Allergy 2008; 38: 1858–1865. - PMC - PubMed
    1. Kinoshita Y, Yahata S, Oouchi S. Eosinophilic gastrointestinal diseases: the pathogenesis, diagnosis, and treatment. Intern Med 2023; 62(1): 1–10. - PMC - PubMed
    1. Díaz Alcázar MDM, García Robles A, López Hidalgo JL, et al. Strongyloides stercoralis with gastroduodenal involvement and complicated with SIADH: an unusual diagnosis to consider in immunosuppressed patients with hyperemesis and eosinophilia. GE Port J Gastroent 2021; 28(4): 279–283. - PMC - PubMed

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