Eosinophilic Ascites and Duodenal Obstruction in a Patient with Liver Cirrhosis

Eosinophilic gastroenteritis (EG) is a rare disease characterized by eosinophilic infiltration of portions of the gastrointestinal tract. Eosinophilic ascites is probably the most unusual and rare presentation of EG and is generally associated with the serosal form of EG. Hereby, we report a case of eosinophilic ascites with duodenal obstruction in a patient with liver cirrhosis. A 50-year-old woman was admitted to our hospital because of abdominal pain, nausea, bloating, and constipation. She had a history of laparotomy because of duodenal obstruction 2 years ago. Based on clinical, radiological, endoscopic, and pathological findings, and given the excluding the other causes of peripheral eosinophilia, the diagnosis of eosinophilic gastroenteritis along with liver cirrhosis and spontaneous bacterial peritonitis was established. Based on the findings of the present case, it is highly recommended that, in the patients presented with liver cirrhosis associated with peripheral blood or ascitic fluid eosinophilia, performing gastrointestinal endoscopy and biopsy can probably reveal this rare disorder of EG.

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Eosinophilic Gastrointestinal Disorder in Coeliac Disease: A Case Report and Review

Case Reports in Gastrointestinal Medicine ◽

10.1155/2012/124275 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4

Author(s):

Dennis N. F. Lim ◽

Annelise Wilkins ◽

Laura Elizabeth Horton ◽

Ishfaq Ahmad ◽

Catherine lo Polito ◽

...

Keyword(s):

Case Report ◽

Coeliac Disease ◽

Case Reports ◽

Gastrointestinal Disorder ◽

Peripheral Eosinophilia ◽

Rare Presentation ◽

Gastrointestinal Manifestations ◽

Eosinophilic Ascites ◽

History Of ◽

High Index Of Suspicion

Eosinophilic gastrointestinal disorder is a rare disorder characterised by eosinophilic infiltration of the gastrointestinal tract. There are various gastrointestinal manifestations with eosinophilic ascites being the most unusual and rare presentation. Diagnosis requires high index of suspicion and exclusion of various disorders associated with peripheral eosinophilia. There are no previous case reports to suggest an association between eosinophilic gastrointestinal disorder and coeliac disease in adults. We report a case of eosinophilic ascites and gastroenteritis in a 30-year-old woman with a known history of coeliac disease who responded dramatically to a course of steroids.

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Unusual case of Giardia lamblia causing eosinophilic ascites along with Plesiomonasshigelloides gastroenteritis

Biomedicine ◽

10.51248/.v41i2.806 ◽

2021 ◽

Vol 41 (2) ◽

pp. 321-323

Author(s):

Ballal Mamatha ◽

Shetty Vignesh ◽

Agarwal Manali ◽

Nayal Bhavna ◽

Umakanth Shashikiran

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Giardia Lamblia ◽

Complete Resolution ◽

Unusual Case ◽

Peripheral Eosinophilia ◽

Short Trip ◽

Eosinophilic Ascites ◽

History Of

A case report of a healthy, immunocompetent male,an international traveller from Germany who had visited India for a short trip,presented at our OPD with a history of loose stools, fever and abdominal pain,for two months. After thorough investigations, he was diagnosed to have an infection withGiardia lambliaacute gastroenteritis (AGE) along witheosinophilic ascites with peripheral eosinophilia, withassociatedPlesiomonasshigelloidesdiarrhoea. He was then treated with metronidazole and cotrimoxazole, which resulted in complete resolution of the symptoms.

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Ascites: an unusual presentation of eosinophilic gastroenteritis in a child

Tropical Doctor ◽

10.1177/0049475520911230 ◽

2020 ◽

Vol 50 (3) ◽

pp. 277-279

Author(s):

Jagadeesh Menon ◽

Vybhav Venkatesh ◽

Anmol Bhatia ◽

Surinder S Rana ◽

Sadhna B Lal

Keyword(s):

Abdominal Pain ◽

Muscle Layer ◽

Eosinophilic Gastroenteritis ◽

Positive Skin Prick Test ◽

Peripheral Eosinophilia ◽

Positive Skin ◽

Prick Test ◽

Mucosal Disease ◽

Eosinophilic Ascites ◽

Rare Manifestation

Eosinophilic ascites, owing to serosal involvement, is a very rare manifestation of eosinophilic gastroenteritis in children, especially when it occurs with muscular involvement in the absence of mucosal disease, which may be confirmed by endoscopic ultrasonography. An 11-year-old girl, presenting with massive eosinophilic ascites and colicky abdominal pain with peripheral eosinophilia, raised IgE levels and positive skin prick test, had such investigation which confirmed the presence of muscle layer thickening of both stomach and small bowel. She responded well to steroids and montelukast.

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Eosinophilic Ascites: An Unusual Rare Presentation of Eosinophilic Gastroenteritis

The American Journal of Gastroenterology ◽

10.14309/00000434-201810001-02652 ◽

2018 ◽

Vol 113 (Supplement) ◽

pp. S1476-S1477

Author(s):

Alexa Choy ◽

Darrel Gachette ◽

Sehrish Jamot ◽

Liz Edmund ◽

Zilla Hussain

Keyword(s):

Eosinophilic Gastroenteritis ◽

Rare Presentation ◽

Eosinophilic Ascites

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Eosinophilic peritonitis in a patient with liver cirrhosis: A case report

Case Reports in Clinical Pathology ◽

10.5430/crcp.v6n1p5 ◽

2019 ◽

Vol 6 (1) ◽

pp. 5

Author(s):

Mengyuan Pang ◽

Fang Hua ◽

Yixiao Zhi ◽

Eryun Qin ◽

Yu Tao ◽

...

Keyword(s):

Liver Cirrhosis ◽

Hepatic Cirrhosis ◽

Gastrointestinal Disease ◽

Abdominal Distension ◽

Eosinophilic Gastroenteritis ◽

Clinical Feature ◽

Peripheral Eosinophilia ◽

Puncture Biopsy ◽

Gastrointestinal Endoscope ◽

Local Allergy

Eosinophilic gastroenteritis (EG) is a gastrointestinal disease characterized by abnormal infiltration of eosinophilic cells in the gastrointestinal tract, excluding known causes of eosinophilia. Eosinophilic peritonitis (EP) is rare and is considered by most scholars to be a systemic or local allergy to exogenous or endogenous allergens. It is a clinical manifestation of eosinophilic gastroenteritis involving the serosal layer. Hereby, we report a case of EP in a patient with liver cirrhosis. A 32-year-old man was admitted to our hospital for intermittent fatigue, abdominal distension and abdominal pain. On account of clinical feature and pathological results of peritoneal puncture biopsy, excluding other causes of peripheral eosinophilia, the diagnosis of EP with hepatic cirrhosis was established. The possibility of EP should be paid great attention to patients with cirrhosis with peritonitis. Gastrointestinal endoscope biopsy, laparoscopy or peritoneal puncture biopsy are conducive to the diagnosis and differential diagnosis. Therefore, once the disease is suspected, gastrointestinal endoscope biopsy should be performed actively, and multiple pathological samples should be taken to contribute to diagnosis and treatment. Laparoscopy or peritoneal puncture biopsy is of vital significance for definitive diagnosis.

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CIRRHOTIC PATIENTS

The Professional Medical Journal ◽

10.29309/tpmj/2016.23.09.1705 ◽

2016 ◽

Vol 23 (09) ◽

pp. 1099-1103

Author(s):

Abdul Aziz Sahto ◽

Amir Shahzad ◽

Mahnaz Faiz Sahito

Keyword(s):

Liver Cirrhosis ◽

Gastrointestinal Endoscopy ◽

Lateral Position ◽

Outcome Variable ◽

Upper Gastrointestinal Endoscopy ◽

Care Hospital ◽

Left Lateral Position ◽

History Of ◽

Cirrhotic Patients ◽

Upper Gastrointestinal

Objectives: The aim behind this study was to determine the prevalence of portalhypertensive gastropathy in cirrhotic patients undergoing upper gastrointestinal endoscopy at atertiary care hospital in Shaheed Benazeerabad. Study Design: Hospital based cross sectionalstudy. Setting: Medicine Department of People’s Medical University, Shaheed Benazeerabad.Period: Six months from 20th August 2014 to 21st February 2015. Material and Methods: Atotal of 115 patients presenting with variceal bleeding (having history of liver cirrhosis since>2 years) and who further was undergoing diagnostic Endoscopic gastrodudenoscopy wereenrolled in the study. All endoscopies were performed by the endoscopists using a GIFQ 160Gastroscope (Olympus, Tokyo, Japan) in the left lateral position. The presence or absenceof PH gastropathy (outcome variable) was noted at each endoscopy. SPSS version 17.0 wasused to analyze the collected data. Results: The average age of the patients was 39.98±11.02years and mean duration of liver cirrhosis was 4.62±1.5 years. There were 70 (60.87%) maleand 45 (39.13%) were female. Regarding socioeconomic status, most of the cases were inlower and middle class. Frequency of portal hypertensive gastropathy (PHG) in patients of livercirrhosis undergoing upper gastrointestinal endoscopy was observed in 60% (69/115) cases.Conclusion: The frequency of PHG was 60% in the studied group of cirrhotic patients. Thisconcludes that if in the liver cirrhosis patients early identification and appropriate therapeuticmeasures of PHG is taken the morbidity in these patients can be decreased.

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Monomicrobial non-neutrocytic bacterascites caused by aeromonas hydrophila in a patient with liver cirrhosis

BioMedicine ◽

10.1051/bmdcn/2019090213 ◽

2019 ◽

Vol 9 (2) ◽

pp. 13

Author(s):

Chen-Sheng Lin ◽

Cheng-Wen Lin

Keyword(s):

Liver Cirrhosis ◽

Aeromonas Hydrophila ◽

Antimicrobial Treatment ◽

Bacterial Peritonitis ◽

Fluid Analysis ◽

Serious Infection ◽

Wound Pain ◽

History Of ◽

Pugh Class ◽

Chronic Ambulatory Peritoneal Dialysis

Aeromonas peritonitis is a rare, but serious infection, as associated with spontaneous bacterial peritonitis, peritonitis in chronic ambulatory peritoneal dialysis, and intestinal perforation. Here, we reported a case of monomicrobial non-neutrocytic bacterascites caused by Aeromonas hydrophila (A. hydrophila). The patient, a 57-year-old man who had a history of alcoholic liver disease and chronic hepatitis C-related Child- Pugh class C liver cirrhosis, was admitted to our hospital with fever, dyspnea and a localized wound pain over left ankle. Ascitic fluid analysis demonstrated that ascitic polymorphonuclear cell count was 30 cells/ mm3. Empirical antimicrobial treatment with a combination of ceftriaxone and clindamycin were administered. However, the patient died due to fatal septic shock on Day 3. His blood and ascites cultures were positive for A. hydrophila. The case report presents the diagnosis, management, and literature review of Aeromonas monomicrobial non-neutrocytic bacterascites.

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Urokinase Antigen in Plasma of Patients with Liver Cirrhosis and Hepatoma

Thrombosis and Haemostasis ◽

10.1055/s-0038-1660082 ◽

1985 ◽

Vol 54 (03) ◽

pp. 617-618 ◽

Cited By ~ 15

Author(s):

J C Kirchheimer ◽

K Huber ◽

P Polterauer ◽

B R Binder

Keyword(s):

Liver Cirrhosis ◽

Liver Disease ◽

Liver Function ◽

Matched Control ◽

Malignant Growth ◽

Control Groups ◽

Impaired Liver Function ◽

Impaired Liver ◽

Specific Medication ◽

History Of

SummaryPlasma urokinase antigen levels were studied in 78 patients suffering from liver diseases. Blood was drawn before any specific medication was initiated. Impairment of liver function was comparable in all patients. In both groups of cirrhotic liver disease (alcoholic and non-alcoholic), normal levels of plasma urokinase antigen were found as compared to age-matched control groups. In both groups of patients with hepatomas (with or without a history of liver cirrhosis), however, significantly increased plasma urokinase antigen levels could be determined. These data indicate that an increase in plasma urokinase antigen might rather relate to malignant growth in liver disease than to impaired liver function.

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