Abstract:
Eosinophilic ascites (EA) can present as an unusual finding of eosinophilic gastroenteritis. We presented this case to remind
eosinophilic acid in cases with unexplained etiology.
A 29-years old man presented to an emergency department with abdominal swelling, progressively worsening nausea, and fatigue
over one month. The patient had no history of allergic disease. There was moderate ascites in the physical examination. Percent
eosinophil was 60% in peripheral blood smear while IgE level was increased in the serum. There was ascites on abdominal computed
tomography (CT) scan. Serum ascites-albumin gradient (SAAG) was non-portal. Eosinophilic infiltration was detected biopsy
samples obtained by upper GI tract endoscopy and in bone marrow aspiration and biopsy. The abdominal pain, ascites and all
laboratory tests were completely recovered after 12 weeks of prednisolone therapy.
Eosinophilic gastroenteritis should be considered in case of markedly increased eosinophilia in ascites fluid.
