A CASE OF EOSINOPHILIC GASTROENTERITIS COMPLICATED WITH ILEUS AND ASCITES COLLECTION

DOI 5 Citations 15 References
  • To Yasuo
    Department of Allergy and Respiratory Medicine, Do-ai Memorial Hospital
  • Ogawa Cyuhei
    Department of Allergy and Respiratory Medicine, Do-ai Memorial Hospital
  • Otomo Mamoru
    Department of Allergy and Respiratory Medicine, Do-ai Memorial Hospital
  • Arai Yasuo
    Department of Allergy and Respiratory Medicine, Do-ai Memorial Hospital
  • Sano Yasuyuki
    Department of Allergy and Respiratory Medicine, Do-ai Memorial Hospital
  • Tashiro Yuji
    Department of Surgery, Do-ai Memorial Hospital
  • Furuta Kazuhiro
    Department of Surgery, Do-ai Memorial Hospital
  • Wakabayashi Kunio
    Department of Surgery, Do-ai Memorial Hospital
  • Ito Koji
    Director, Do-ai Memorial Hospital

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Other Title
  • 血清及び腹水中IL-5測定により病勢を追跡し得た, 好酸球性胃腸炎と思われる1例

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Abstract

A 30-year-old woman was admitted to our hospital because of ileus and ascites. Laboratory data on admission demonstrated marked eosinophilia (42.5% of WBC) but negative CRP-value. Abdominal CT showed marked ascites and diffuse thickening of intestinal walls. Ascites examination revealed eosinophilic ascites. The level of IL-5 both in the serum and in the ascites were also high. No evidence of eosinophilic infiltration was noted both gastric and colonic mucosal biopsy specimens. Oral prednisolone treatment (50 mg/day) was effective for her. We diagnosed her as a case of sub-serosal type eosinophilic gastroenteritis. It is essential to obtain eosinophilic ascites for correct diagnosis of the disease. And it is possible that serum and ascites IL-5 value would be reliable indicator of the activity of this disease.

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