Recurrent Acute Pancreatitis Due to Eosinophilic Gastroenteritis

Aims: Eosinophilic gastroenteritis (EGE) is an unusual affection distinguished by punctual or abundant infiltration by eosinophilic cells in the gastrointestinal tracts, particularly the stomach or duodenum. Clinical aspects are inconstant.

Case Report: We record a case with EGE presenting as coexistent acute pancreatitis with ascites. Laboratory detections demonstrated elevated rate of lipase with elevated blood eosinophil cells numbers. A computed tomography of abdominal and pelvic region checkup appeared a normal pancreatic gland, minimal quantity of ascites in peritoneum and duodenal thickening. Duodenal Biopsies suggested eosinophilic cells infiltration in the lamina propria. This case was effectively treated using prednisolone.

Conclusion: in spite of its atypical circumstance, the discriminational opinion of inexplicable acute pancreatitis should include EGE, particularly if the patient has duodenal edema on imaging or peripheral eosinophilia.