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Published in: International Journal of Colorectal Disease 4/2020

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.
Literature
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go back to reference Wong GW, Lim KHT, Wan WK, Low SCA, Kong SC (2015) Eosinophilic gastroenteritis: clinical profiles and treatment outcomes, a retrospective study of 18 adult patients in a Singapore tertiary hospital. Med J Malaysia 70(4):232–237PubMed Wong GW, Lim KHT, Wan WK, Low SCA, Kong SC (2015) Eosinophilic gastroenteritis: clinical profiles and treatment outcomes, a retrospective study of 18 adult patients in a Singapore tertiary hospital. Med J Malaysia 70(4):232–237PubMed
Metadata
Title
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
Publication date
01-04-2020
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Colorectal Disease / Issue 4/2020
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-020-03523-z

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