Subserous Eosinophilic Colitis: A Case Report in a Private Hospital in Lima, Peru

Zagaceta W.; Valverde M.; Mathios J. · Revista Colombiana de Gastroenterologia (2023) · DOI: 10.22516/25007440.888

Resumen

Eosinophilic colitis is a rare gastrointestinal disease that belongs to the group of so-called primary eosinophilic diseases of the digestive tract. There are three types: mucosa, transmural (mus-cular), and subserous. We present the case of a 23-year-old male patient with a clinical picture of abdominal pain, nausea, chronic diarrhea, and ascites. Parasitic and other secondary etiologies were ruled out. Upper digestive endoscopy was not helpful. Colonoscopy revealed characteristics of inflammation in the distal ileum and ascending colon, the histological findings of which were consistent with eosinophilic colitis. The study of ascitic fluid was suggestive of eosinophilic ascites. The patient received induction treatment with prednisone 40 mg daily orally; remission was achieved after two weeks, and maintenance the-rapy based on prednisone was continued with the progressive withdrawal of the dose. Control of the disease was successful.