Case report
EOSINOPHILIC GASTROENTERITIS AND PLEURISY WITH ASCITES ACCOMPANIED WITH PLEURAL EXUDATE OF UNKNOWN ETHIOLOGY: DIAGNOSTIC PROBLEM
Miodrag Milojković
; Klinika za ginekologiju i porodništvo Kliničkog bolničkog centra Osijek, J. Huttlera 4, 31 000 Osijek, Hrvatska
Milanka Mrčela
; Zavod za patološku anatomiju Kliničkog bolničkog centra Osijek
Mirjana Rubin
Dimitrije Milojković
Abstract
The paper presents a case of eosinophilic gastroenteritis and pleurisy, complicated with ascites and pleural exudate, with high level of CA 125 in the serum. The patient underwent a surgery due to a suspected ovarial cancer. The patient complained of bloating and constipation but did not experience any other problems. Blood analysis showed 61.0% of eosinophilia in peripheral blood and 322.0 level of CA 125 in the serum. In spite of all examinations we could not detect the cause of eosinophilia and the number of eosinophils in the peripheral blood dropped without any therapy, whereas level of CA 125 kept increasing. In order to diagnose the right condition, the patient had laparotomy, stomach and bowel biopsy performed, which confirmed eosinophilic gastroenteritis. The laparotomy and bowel biopsy were done, confirming the diagnosis of eosinophilic gastroenteritis. Within due course of time the number of eosinophils in blood normalized spontaneously and so did the level of CA 125, ascites and pleurisy disappeared. The patient was closely observed for six years and did not experienced any relapse or any other serious health problems. Conclusion. The paper describes a case of eosinophilic gastroenteritis and pleurisy of unknown etiology that healed spontaneously without disease relapse in six years. The patient’s spontaneous healing (drop of eosinophils in peripheral blood, followed by increased level of CA 125 in serum) affected the diagnosis accuracy.
Keywords
eosinophilic gastroenteritis and pleurisy; ascites; pleural exudate
Hrčak ID:
68417
URI
Publication date:
1.3.2010.
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