When Ascites Hides More: A Diagnostic Dilemma in an Unusual Presentation.

Eosinophilic ascites, a rare manifestation of eosinophilic gastroenteritis, is characterized by eosinophilic infiltration in the gastrointestinal tract and ascitic fluid. In this case, a 60-year-old male presented with abdominal pain and vomiting, with diagnostic challenges due to non-specific symptoms. The diagnosis was made based on history and eosinophil-rich ascites. Treatment with corticosteroids resulted in symptom improvement. This case emphasizes the importance of early recognition and prompt treatment to avoid unnecessary surgical intervention in patients with unexplained ascites.