Published in:
01-04-2020 | Ultrasound | Case Report
A rare case of diarrhea and ascites
Authors:
Flávio Pereira, Ana Isabel Ferreira, Marisa Linhares, Sandra Paulo, José Tristan, Eduardo Pereira, Rui Sousa, António Banhudo
Published in:
International Journal of Colorectal Disease
|
Issue 4/2020
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Abstract
Background
Eosinophilic enterocolitis is a rare condition included in the spectrum of the eosinophilic gastrointestinal disorders. Diagnosis is based on clinical presentation combined with an increase infiltration of eosinophils in the gastrointestinal tract, in the absence of other secondary causes of eosinophilic infiltration.
Case presentation
We report a case of a 22-year-old male with eosinophilic enterocolitis presenting with malabsorption syndrome (diarrhea, vomiting, weight loss), bowel wall thickening, and ascites. Secondary causes of intestinal eosinophilia were excluded, and diagnosis was established in a timely manner. Treatment plan included a 6-food elimination diet and corticosteroid therapy, with clinical remission after 2 weeks of therapy. The patient remains asymptomatic after 12 months of follow-up, with no relapse.