a young man with eosinophilic ascites: a case report

we report the case of a 40-year-old male patient admitted to the surgery ward in our hospital for recent abdominal pain, abdominal distention and fever. he had a history of similar abdominal pain and distention; for which he had undergone a laparotomy. laboratory data revealed leukocytosis with eosinophilia (42%). upper gastrointestinal endoscopy showed diffuse severe erythematous pangastritis. biopsies were taken from the esophagus which showed 10-15 eosinophils in each high power field. the ascitic fluid was straw-colored and sterile with 90% eosinophils. therefore, the patient was treated with prednisolone (30 mg/day) and was diagnosed with an eosinophilic gastroenteritis syndrome with subserosal presentation. the patient recovered and eosinophilia improved within a few days.