Eosinophilic ascites, an unusual presentation of eosinophilic gastroenteritis: A case report and review

Hepburn, Iryna; Sridhar, Subbaramiah; Schade, Robert R.

doi:10.4291/wjgp.v1.i5.166

Cited by 34 publications

(41 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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: 86%

See 1 more Smart Citation

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

Section: A C Bmentioning

confidence: 86%

“…In general, the most frequently described clinical presentation is abdominal pain associated with nausea and vomiting. Moreover, the presence of pleural effusion in subjects with eosinophilic ascites, as described in this report, is not rare and usually abates with the usual treatment (i.e., administration of a corticosteroid) (30,32,38,39,43).…”

Section: A C Bmentioning

confidence: 97%

Unusual presentations of eosinophilic gastroenteritis: Two case reports

Leal

Fayad²,

Vieira³

et al. 2014

Turk J Gastroenterol

View full text Add to dashboard Cite

show abstract

“…If the muscular layer is involved, nausea, vomiting and/or stomach ache may be the symptoms 1. EA is common when the serosa is involved, and is probably the most unusual and rare presentation of EG 4 7…”

Section: Discussionmentioning

confidence: 99%

“…Several studies suggest a role of various cytokines, such as interleukin 3 and 4, granulocyte macrophage colony-stimulating factor and eotaxin, which are produced by eosinophils. Some studies also advocate that food allergens may play a role in local recruitment of eosinophils 1 4…”

Section: Discussionmentioning

confidence: 99%

A 22-year-old male patient with ascites

et al. 2015

View full text Add to dashboard Cite

A 22-year-old male patient presented with a 3-day history of abdominal pain, diarrhoea, nausea and vomiting. He reported abdominal distention of a couple of weeks' duration. He had been hospitalised 7 months earlier, owing to the same symptoms, however, the cause was never clarified. Initial examination showed abdominal distention and blood tests indicated eosinophilia. An abdominal CT scan showed mild ascites and a diffuse thickening of the small intestinal loops, and a cystic formation 3 cm in diameter on the liver. The differential diagnosis included parasite infection and eosinophilic gastroenteritis. Liver MRI revealed a simple biliary cyst. Microbiological tests, stool and blood cultures as well as stool examination for parasites were negative. The diagnostic paracentesis revealed eosinophilic ascites. An endoscopy was performed and histopathology revealed presence of moderate to marked lymphoplasmacytic infiltrate containing eosinophils, compatible with eosinophilic gastroenteritis. The patient responded well to the initiation of corticosteroids.

show abstract

“…gastrointestinal dokularda eozinofil infiltrasyonuna bağlı belirti ve bulgular ile seyreden ve parazit infeksiyonu, vaskülit ve malignite gibi ikincil eozinofili nedenlerinin bulunmadığı inflamatuar bir grup hastalıktır 1 …”

Section: Eozinofilik Gastointestinal Hastalıklar (Egh)unclassified

Eozinofilik Gastroenteritin Nadir Bir Formu: Eozinofilik Asit

Unler¹,

Özgür²,

Erinanç³

et al. 2015

Cukurova Medical Journal

View full text Add to dashboard Cite

ÖZETEozinofilik gastointestinal hastalıklar, gastrointestinal dokularda eozinofil infiltrasyonuna bağlı belirti ve bulgular ile seyreden ve parazit infeksiyonu, vaskülit ve malignite gibi ikincil eozinofili nedenlerinin bulunmadığı inflamatuar bir grup hastalıktır. Eozinofilik gastointestinal hastalıklara nadir rastlanır ve eozinofilik asit muhtemelen en az rastlanan ve en az bildirilen formudur. Bu yazının amacı kliniğimizde 24 yaşında eozinofilik asit tanısı alan bir hastamızı sunmak ve asitli hastalarda medikal olarak tedavi edilebilen eozinofilik asite dikkat çekmektir. Anahtar kelimeler: Eozinofili; Asit; Steroid ABSTRACTEosinophilic gastrointestinal diseases are a group of inflammatory disorders characterized by signs and symptoms associated with eosinophil infiltration of the gastrointestinal tissues with the absence of any secondary cause of eosinophilia such as parasitic infection, vasculitis and malignancy. Eosinophilic gastrointestinal diseases are rare and eosinophilic ascite is probably the least common and least reported form. We reported a case of 24-year old women presented with eosinophilic ascites and we want to point out a rare cause of ascites that can be managed appropriately.

show abstract

Eosinophilic ascites, an unusual presentation of eosinophilic gastroenteritis: A case report and review

Cited by 34 publications

References 30 publications

Unusual presentations of eosinophilic gastroenteritis: Two case reports

Unusual presentations of eosinophilic gastroenteritis: Two case reports

A 22-year-old male patient with ascites

Eozinofilik Gastroenteritin Nadir Bir Formu: Eozinofilik Asit

Contact Info

Product

Resources

About