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Eosinophilic ascites and enteritis: a neglected case report from Vietnam
Tien Manh Huynh1, Nhu Thi Hanh Vu1, Tran Thi Luong Vo1
1Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.
The Journal of International Medical Research
|September 6, 2024
Summary
Eosinophilic gastroenteritis is hard to diagnose, especially in developing nations. This case highlights its importance in patients with abdominal pain and eosinophilic ascites.
Area of Science:
- Gastroenterology
- Immunology
Background:
- Eosinophilic gastroenteritis (EGE) presents diagnostic challenges, particularly in resource-limited settings.
- Limited awareness in developing countries complicates early and accurate diagnosis of EGE.
Observation:
- A patient in her early 30s experienced recurrent abdominal pain and diarrhea.
- Initial investigations showed normal blood counts but elevated immunoglobulin E; endoscopy was inconclusive.
- Computed tomography revealed a thickened small intestine wall, halo signs, and ascites with confirmed eosinophilia.
Findings:
- Computed tomography and ascitic fluid analysis were crucial for diagnosing EGE.
- The patient's condition improved with an elimination diet, corticosteroids, and antileukotriene therapy.
Implications:
- This case underscores the need to include EGE in the differential diagnosis for unexplained abdominal pain and eosinophilic ascites.
- Raising awareness of EGE in developing countries is vital for improving patient outcomes.
