engleski

Sonography in diagnosis and follow-up of serosal eosinophilic gastroenteritis treated with corticosteroid

An 18-year old patient presented with with abdominal pain, nausea and low-grade fever. Sonography showed ascites in the region of terminal ileum and the presence of peritoneal nodules suggested peritoneal inflamation. Cytologic analysis of ascites revealed numerous eosinophils. Sonographic visualisation of nodular peritoneal deposits associated with eosinophilic ascites permitted the diagnosis of serosal form of eosinophilic gastroenteritis. The absence of mucosal and muscular involvment in the bowel wall was confirmed by endoscopy and CT. Two weeks of 20mg/day oral prednisolon led to relief of the symptoms with normalisation of laboratory parameters and sonographic findings.

serosal eosinophilic gastroenteritis ; sonography ; treatment

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