Eosinophilic Gastroenteritis and Ascites

Wa, Harmon; Ca, Helman

doi:10.1097/00004836-198112000-00013

Cited by 16 publications

(4 citation statements)

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“…Moreover, in cases where the diagnosis remains uncertain, CT imaging can help in localizing areas of thickened bowel suitable for surgical full thickness biopsy [7, 12, 13]. In contrast to the other two types, subserosal EGE may be confirmed by ascitic fluid analysis, which in the majority of cases reveals predominant eosinophilia reaching up to 99% of the white cells [14, 15]. Rarely, patients with EGE present with abdominal adenopathy resembling malignancy [16].…”

Section: Discussionmentioning

confidence: 99%

Acute Eosinophilic Ascites in a Middle-Aged Man

Bleibel

Fragoza²,

Faller³

2012

Case Reports in Gastrointestinal Medicine

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Eosinophilic gastroenteritis is a rare condition characterized by recurrent eosinophilic infiltration of portions of the GI tract and presenting with nonspecific GI symptoms in association with peripheral eosinophilia. Its etiology and pathogenesis remain unclear and its symptoms overlap with many GI and systemic diseases. Thus, both gastroenterologists and general internists need to be aware of this rare condition. We present a case of a 55-year-old male with diffuse abdominal pain and distention for two weeks. His physical examination was significant for moderate ascites. Initial work-up demonstrated severe peripheral blood eosinophilia, normal liver function tests, thickening of the stomach and small bowel wall, and elevated serum IgE. Upper endoscopy and extensive testing for malignancy and parasitic infections failed to establish a diagnosis. Ascitic fluid analysis showed significant eosinophilia. Further, a full-thickness jejunal showed marked eosinophilic infiltration of the serosa and muscularis propria. Subsequent treatment with oral prednisone resulted in normalization of laboratory and radiologic abnormalities in a few week period.

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Section: Discussionmentioning

confidence: 99%

Acute Eosinophilic Ascites in a Middle-Aged Man

Bleibel

Fragoza²,

Faller³

2012

Case Reports in Gastrointestinal Medicine

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“…Although excluded from our analysis, EA was reported in 23 studies, 13 of them, including human subjects with EGE [130][131][132][133][134][135][136][137][138][139][140][141][142] and 10 of them both animal and human subjects with parasitic infection [143][144][145][146][147][148][149][150][151][152].…”

Section: Additional Findings Not Included In the Analysismentioning

confidence: 99%

Causes of eosinophilic ascites – A systematic review

Pinte

Băicuș

2019

Romanian Journal of Internal Medicine

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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.

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“…EGD can be associated with or without peripheral eosinophilia and diagnosis thus remains tricky. In the presence of ascites, a diagnostic tap showing exudative ascites with eosinophilia is suggestive of the disease[ 9 ]. Endoscopy guided biopsy is a useful test; however, patchy involvement of the GI tract means that diagnosis can be missed in 25% of cases[ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Hypereosinophilic syndrome presenting as eosinophilic gastroenteritis disorder and splinter hemorrhages: A case report

Bhasi¹,

Patnaik²,

Panda³

et al. 2022

WJGPT

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BACKGROUND Eosinophilia and related organ damage are extensively studied hot topics among rare disorders. Any addition to the cohort of available case reports of the same will be adding knowledge for better management of this less known entity. CASE SUMMARY In this article, we describe a 27-year-old Indo-Aryan man who presented with abdominal pain, abdominal distension, and loose stools for variable days. He had splinter hemorrhages in the majority of fingernails. He was diagnosed with predominant eosinophilic gastrointestinal involvement with bowel obstruction and ascites, and was managed with intravenous immunoglobulin. He was subsequently treated with oral low dose steroid therapy and responded completely. CONCLUSION Our experience is evidence that prompt management of this hypereosinophilic lethal gastrointestinal (all three layers) infiltrative disease provides a cure and avoids complications. Splinter nail hemorrhages may be seen in the same disease.

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Eosinophilic Gastroenteritis and Ascites

Cited by 16 publications

References 0 publications

Acute Eosinophilic Ascites in a Middle-Aged Man

Acute Eosinophilic Ascites in a Middle-Aged Man

Causes of eosinophilic ascites – A systematic review

Hypereosinophilic syndrome presenting as eosinophilic gastroenteritis disorder and splinter hemorrhages: A case report

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