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Eosinophilic ascites due to severe eosinophilic ileitis
Namrata Setia1, Peter Ghobrial, Pantanowitz Liron
1Department of Pathology Pittsburgh, PA, USA.
Cytojournal
|October 27, 2010
Summary
Eosinophilic ileitis can cause eosinophilic ascites, a rare condition. This case highlights the importance of considering intestinal biopsies for diagnosis and corticosteroid treatment for resolution.
Area of Science:
- Gastroenterology
- Cytopathology
Background:
- Effusion eosinophilia has diverse causes including allergic, infectious, and neoplastic conditions.
- Eosinophilic ascites is a rare manifestation of eosinophilic gastroenteritis.
Observation:
- A 17-year-old male presented with acute eosinophilic ascites.
- Cytologic evaluation of peritoneal fluid showed 65% eosinophils in a bloody background.
- Biopsy confirmed severe subserosal eosinophilic ileitis.
Findings:
- Eosinophilic ileitis can lead to significant eosinophilic ascites.
- The patient's ascites resolved completely with corticosteroid therapy.
Implications:
- Eosinophilic gastroenteritis with subserosal involvement should be recognized as a cause of eosinophilic ascites.
- Laparoscopic intestinal biopsies may be necessary for diagnosing eosinophilic ascites.
- Corticosteroids are an effective treatment for this condition.
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