Eosinophilic ascites, owing to serosal involvement, is a very rare manifestation of eosinophilic gastroenteritis in children, especially when it occurs with muscular involvement in the absence of mucosal disease, which may be confirmed by endoscopic ultrasonography. An 11-year-old girl, presenting with massive eosinophilic ascites and colicky abdominal pain with peripheral eosinophilia, raised IgE levels and positive skin prick test, had such investigation which confirmed the presence of muscle layer thickening of both stomach and small bowel. She responded well to steroids and montelukast.
KaijserR. Allergic disease of the gut from the point of view of the surgeon. Arch Klin Chir1937; 188: 36–64.
2.
KleinNCHargroveRLSleisengerMH, et al.Eosinophilic gastroenteritis. Medicine (Baltimore)1970; 49: 299–319.
3.
TalleyNShorterRPhillipsS, et al.Eosinophilic gastroenteritis: a clinicopathological study of patients with disease of the mucosa, muscle layer, and subserosal tissues. Gut1990; 31: 54–58.
4.
AnuradhaCMittalRYacobM, et al.Eosinophilic disorders of the gastrointestinal tract: imaging features. Diagn Interv Radiol2012; 18: 183–188.
5.
TienFMWuJFJengYM, et al.Clinical features and treatment responses of children with eosinophilic gastroenteritis. Pediatr Neonatol2011; 52: 272–278.
6.
Pineton de ChambrunGGonzalezFCanvaJY, et al.Natural history of eosinophilic gastroenteritis. Clin Gastroenterol Hepatol2011; 9: 950–956.
7.
KodanPShettyMAPavanM, et al.Acute eosinophilic ascites: An unusual form of an unusual case. Trop Doct2015; 45: 39–41.
8.
AlnaserSAljebreenAM. Endoscopic ultrasound and hisopathologic correlates in eosinophilic gastroenteritis. Saudi J Gastroenterol2007; 13: 91–94.
9.
AbouRachedAEl HajjW. Eosinophilic gastroenteritis: Approach to diagnosis and management. World J Gastrointest Pharmacol Ther2016; 7: 513–523.
