Case Report: Ascites as a rare initial manifestation of eosinophilic gastroenteritis

Abstract

<ns3:p>Introduction Eosinophilic gastroenteritis is a rare disease characterized by gastrointestinal symptoms and peripheral eosinophilia. It can affect any layer of the gastrointestinal tract. Mucosal, muscular, and sub-serosal subtypes of eosinophilic infiltration are distinguished based on their infiltration depth. Ascites is a characteristic feature of sub-serosal eosinophilic gastroenteritis. However, isolated ascites is a very rare presentation of the disease, making diagnosis challenging. Case presentation In this case report, we present a 25-year-old female eosinophilic gastroenteritis patient who initially presented with symptoms and signs of ascites. She also reported seasonal rhinitis, which has been associated with eosinophilic gastroenteritis. She responded effectively to treatment with prednisolone. Conclusions This case report highlights the importance of considering rare diseases like eosinophilic gastroenteritis in the differential diagnosis of ascites. Treatment typically involves dietary modifications and corticosteroids. This case also contributes to our understanding of this rare initial presentation of the disease.</ns3:p>