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2018 ; 25
(4
): 184-188
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Eosinophilic Enterocolitis: An Exceedingly Rare Entity
#MMPMID29998164
Lopes Azevedo RJ
; Pinto J
; Ribeiro H
; Pereira F
; Leitão C
; Caldeira A
; Pereira E
; Duarte Banhudo AJ
GE Port J Gastroenterol
2018[Jun]; 25
(4
): 184-188
PMID29998164
show ga
Eosinophilic enterocolitis is an exceptionally rare condition with few described
cases in the literature, representing the least frequent manifestation of the
wide spectrum of eosinophilic gastrointestinal disorders. We describe a case of a
young male patient presenting with a panmural form of the disease, manifested by
abdominal pain, distention, and watery diarrhea with 4 days of evolution, bowel
wall thickening, and ascites. Eosinophilic ascites is probably the most unusual
presentation form of this entity. It poses a diagnostic challenge because of its
nonspecific symptoms, associated with the absence of standardized histological
criteria, hence requiring a high level of suspicion. There is also no consensus
regarding treatment: it should be individualized according to the patient's age
and severity of symptoms.