RESUMEN Se presenta el caso de una paciente con colitis eosinofilica perforada que requirio manejo quirurgico, se confirmo diagnostico con biopsia y evoluciono satisfactoriamente.La enteritis eosinofilica es un trastorno que compromete el tracto gastrointestinal secundario a la infiltracion de sus capas por eosinofilos y forma parte de un complejo de enfermedades emergentes. Fue descrita en forma reciente y presenta una amplia gama de sintomatologia, que mimetiza y simula diagnosticos de mayor incidencia y por tanto de mayor sospecha. Actualmente es parte de las posibilidades a evaluar en pacientes con patologia gastrointestinal, amplio rango que incluye aquellas que ameritan manejo sintomatico y estudios para su determinacion etiologica, y en el extremo opuesto aquellas que requieren manejo quirurgico estableciendo su diagnostico posteriormente. Palabras clave: Eosinofilia. Colitis. Enfermedad gastrointestinal. SUMMARY Perforated eosinophilic colitis.This is the presentation of a perforated eosinophilic colitis’s case which required surgical handle and was confirmed the diagnosis with biopsy and had a satisfactory evolution.Eosinophilic enteritis is a disorder that involves the gastrointestinal tract secondary to eosinophils infiltration of its layers and form part of an emerging disease complex. It was described recently and presents a wide range of symptoms, mimics and simulates highest incidence diagnosis and therefore more suspected. Currently, it is one of the possibilities to evaluate in patients with gut pathology, a wide range that include those that need symptomatic handle and studies for its etiological determination, and in the other side those which required surgical treatment establish the diagnosis later on. Key words: Eosinophilia. Colitis. Gastrointestinal diseases.