We report a case of eosinophilic gastroenteritis, which has features o
f the predominant subserosal type presented as an ileus and ascites, A
48-year-old Japanese woman was admitted to our hospital because of ep
igastralgia, lower abdominal pain and vomiting, She had a past history
of allergic disorders. The computed tomographic scan revealed ascites
, and marked wall thickening and dilatation of the intestine, This pat
ient showed eosinophilic ascites without marked peripheral eosinophili
a, Histologic examination demonstrated eosinophilic infiltrates did no
t predominate in the gastrointestinal tract. Conservative treatment of
intravenous infusion of antibiotics and Ringer's solution was effecti
ve in this case.