EOSINOPHILIC GASTROENTERITIS: A RARE CAUSE OF PERSISTENT ABDOMINAL PAIN, DIARRHOEA AND ASCITES.

HUSSIN MHF, JALIHAL A, ALIUDDIN PMB

Department of Internal Medicine and Department of Laboratory, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei Darussalam.

ABSTRACT

Eosinophilic gastroenteritis is a rare disease, and it can pose diagnostic challenges in areas where parasitic infection is common. The condition is characterized by eosinophilic infiltration of the bowel wall with various clinical manifestations based on the bowel layers predominantly affected. It is typically treated with corticosteroid. In this case report, we describe a 33 years old lady with gastrointestinal symptoms of epigastric pain, vomiting and diarrhoea with mild ascites. She underwent extensive investigations including ultrasound guided paracentesis with ascitic fluid analysis which showed predominantly eosinophils cells. She was eventually diagnosed with eosinophilic gastroenteritis and was treated with tapering dose of prednisolone, and her symptoms gradually resolved.

Keywords: Abdominal pain, Diarrhoea, Eosinophilic gastroenteritis, Eosinophilic ascites, Gastrointestinal.

Correspondence: Dr. Mohd Herollenienor Felah HJ HUSSIN, Acute Medical Unit, Department of Internal Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BA1710, Brunei Darussalam.

Email: herolfelah.hussin@gmail.com; Phone contact-2242424

Brunei Int Med J.2021;17:36-39