A Rare Cause of Ascites

Jarry, Julien; Peycru, T.; Shekher, Manu C.

doi:10.1053/j.gastro.2010.05.095

Cited by 9 publications

(9 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…EGE can occur in adult and paediatric populations [3][4][5][6][7][8][9][10] and although the condition is generally more common in men [11], the serosal form with ascites more commonly affects women [12]. EGE can occur in adult and paediatric populations [3][4][5][6][7][8][9][10] and although the condition is generally more common in men [11], the serosal form with ascites more commonly affects women [12].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Eosinophilic ascites with marked peripheral eosinophilia

Elliott

McCormack

Tchrakian³

et al. 2014

European Journal of Gastroenterology &Amp; Hepatology

View full text Add to dashboard Cite

Eosinophilic disease of the gastrointestinal tract is rare and is characterized by the presence of gastrointestinal symptoms in association with eosinophilic infiltration of any part of the gastrointestinal tract. Clinical presentation of eosinophilic gastroenteritis (EGE) varies not only by the part of the gastrointestinal tract involved but also with the depth of eosinophilic infiltration of the gut wall. We describe the case of a 41-year-old woman with a history of atopy who presented with severe abdominal pain and diarrhoea. Investigations showed large-volume eosinophil-rich ascites and a markedly elevated peripheral blood eosinophil count and immunoglobulin E level. Bone marrow aspirate, trephine biopsy and T-cell studies showed no evidence of underlying haematological malignancy. Vasculitic disease and parasitic infection were systematically excluded. Colonic and upper gastrointestinal biopsies confirmed a diagnosis of EGE with eosinophilic ascites. The patient was treated with systemic corticosteroids and dietary allergen elimination with dramatic therapeutic response. The diagnostic and therapeutic challenges associated with EGE in its various forms are discussed.

show abstract

Section: Discussionmentioning

confidence: 99%

“…However, because of the patchy nature of the disease, endoscopic biopsy may be negative in up to 13% of individuals with confirmed EGE [10]. However, because of the patchy nature of the disease, endoscopic biopsy may be negative in up to 13% of individuals with confirmed EGE [10].…”

Section: Discussionmentioning

confidence: 99%

Eosinophilic ascites with marked peripheral eosinophilia

Elliott

McCormack

Tchrakian³

et al. 2014

European Journal of Gastroenterology &Amp; Hepatology

View full text Add to dashboard Cite

show abstract

“…In 28 cases (22%) history of allergic diseases was reported. With an equal gender ratio, 5 of them [4][5][6][7][8] had nonspecific symptoms, 9 were diagnosed with asthma [9][10][11][12][13][14][15][16][17], 1 with skin rash [18], while in rest of the patients associations between asthma, allergic rhinitis [19][20][21], skin rash as well as food, pet and drug allergy were mentioned.…”

Section: Eosinophilic Gastroenteritis (Ege)mentioning

confidence: 99%

Causes of eosinophilic ascites – A systematic review

Pinte

Băicuș

2019

Romanian Journal of Internal Medicine

View full text Add to dashboard Cite

Background. In the last years an uprising interest for a relatively unknown entity, eosinophilic ascites (EA), has been recorded. Our aim is to investigate the potential causes of EA development, as well as clinical, laboratory, endoscopic and radiologic features, management and outcome in these patients. Methods. The following research was performed on PubMed (MEDLINE) database using the medical subject headings [Mesh] terms “Ascites” AND “Eosinophils”. Results. A total of 284 results, dating from 1962 onwards, were found and abstracts were examined. 131 papers were excluded and the remaining 153 publications, consisting in case reports and series of cases, were analyzed. From 171 patients with EA, 127 subjects (74%) had EGE, 17 (10%) parasitic and fungal infections, 11(7%) Hypereosinophilic syndrome and 16 patients (9%) less common diseases (eosinophilic pancreatitis, chronic eosinophilic leukemia, myelofibrosis, T-cell lymphoma, Churg Strauss Syndrome, Systemic lupus erythematosus, Familial paroxysmal polyserositis and Ménétrier’s disease). High eosinophil blood count and IgE levels as well as gastrointestinal symptoms are frequent. The diagnosis is based on ascitic fluid analysis, imaging and endoscopic biopsies. Therapy with corticosteroids results in resolution of eosinophilic ascites in almost all patients. Conclusion. In most cases, in the absence of allergy, parasitic infections, malignancy, hematological disorders, peritoneal tuberculosis, inflammatory bowel disease or autoimmune disease, EA develops as a manifestation of eosinophilic gastroenteritis.

show abstract

“…Patients with subserosal eosinophilic gastroenteritis usually present with marked eosinophilia in the ascitic fluid (45%-90%) (17,29,30,34). Even though the patient in case 1 did not exhibit such a high eosinophil count in the ascitic fluid, as expected, histologic evaluation demonstrated 20 eosinophils/highpower field, which is considered the standard complementary method for the diagnosis of eosinophilic gastroenteritis in this clinical context.…”

Section: A C Bmentioning

confidence: 84%

Unusual presentations of eosinophilic gastroenteritis: Two case reports

Leal

Fayad²,

Vieira³

et al. 2014

Turk J Gastroenterol

View full text Add to dashboard Cite

Eosinophilic gastroenteritis is a rare disease that is characterized by eosinophil infiltration in one or multiple segments of the gastrointestinal tract. The etiology of this condition remains unknown. Eosinophilic gastroenteritis has heterogeneous clinical manifestations that depend upon the location and depth of infiltration in the gastrointestinal tract, and eosinophilia may or may not be present. This article reports two cases of eosinophilic gastroenteritis. The first is that of a 49-year-old woman with abdominal pain, ascites, eosinophilia, and a history of asthma. The second case is that of a 69-year-old male with a history of loss of appetite, belching, postprandial fullness, heartburn, and a 5-kilogram weight loss over a period of 9 months; ultimately, the patient was diagnosed with a gastric outlet obstruction due to pyloric stenosis. The rare character of eosinophilic gastroenteritis and its varied clinical presentations often lead to delayed diagnoses and complications. Case reports may help to disseminate knowledge about the disease, thereby increasing the likelihood of early diagnosis and intervention to prevent complications.

show abstract

A Rare Cause of Ascites

Cited by 9 publications

References 2 publications

Eosinophilic ascites with marked peripheral eosinophilia

Eosinophilic ascites with marked peripheral eosinophilia

Causes of eosinophilic ascites – A systematic review

Unusual presentations of eosinophilic gastroenteritis: Two case reports

Contact Info

Product

Resources

About