S2808 A Case of Recurrent Eosinophilic Ascites and Diffuse Abdominal Pain

Introduction. Hydatid disease is caused by the tapewormEchinococcus granulosusand is still a matter of public health in many regions of the world, where it is an endemic parasitic disease. Although the liver is the most involved organ, hydatidosis can be found anywhere in the human body. Rare forms of location may lead to diagnostic and therapeutic dilemmas.Case Report. Herein we report a rare case of acute abdominal pain and progressively increasing abdominal distension due to abdominal and multiple splenic echinococcosis in a 72-year-old Caucasian male. We also provide a brief review of the literature.Conclusion. Although hydatid disease is found most often in the liver and lungs, rarely any organ of the body can be involved by this zoonosis. Though rare, the possibility of unusual location of echinococcosis must always be considered by the operating surgeon, when dealing with diffuse abdominal pain in endemic areas, because any misinterpretation may result in unfavorable outcomes.

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An unusual case of pediatric abdominal pain

CJEM ◽

10.2310/8000.2011.110163 ◽

2011 ◽

Vol 13 (02) ◽

pp. 133-138 ◽

Cited By ~ 3

Author(s):

Lars P. Bjoernsen ◽

M. Bruce Lindsay

Keyword(s):

Abdominal Pain ◽

Colonic Obstruction ◽

Exploratory Laparotomy ◽

Symptomatic Treatment ◽

Systematic Evaluation ◽

White Female ◽

Symptomatic Therapy ◽

Regional Lymph Nodes ◽

Diffuse Abdominal Pain ◽

Gastrografin Enema

ABSTRACTChronic and recurrent abdominal pains are common complaints in children and adolescents, but the evaluation in the emergency department (ED) can be challenging. We present a rare yet serious case of a 17-year-old white female who presented to the ED with a 2-day history of diffuse abdominal pain, nausea, and intractable vomiting. Abdominal examination and imaging, including computed tomography (CT), were negative during an episode 6 weeks previously. This was her fifth similar episode in a 2-month period, and she had been seen at three different hospitals and admitted on each occasion. Three days prior to presentation to our ED, she was seen at a gastroenterology clinic and diagnosed with irritable bowel syndrome and an ovarian cyst. Symptomatic therapy during the current presentation, with intravenous fluids, antiemetics, and parenteral narcotics, failed to alleviate her abdominal pain and vomiting. Emergent CT evaluation revealed a high-grade colonic obstruction with focal circumferential narrowing in the transverse colon and a lower gastrointestinal follow-through radiograph with Gastrografin enema showed a classic “apple-core” lesion. Colonic adenocarcinoma with positive regional lymph nodes was found during emergent exploratory laparotomy. Pediatric patients with recurrent, episodic abdominal pain should undergo systematic evaluation and symptomatic treatment. A previous negative workup should not dissuade emergency physicians from proceeding with a systematic and thorough evaluation of the pediatric patient presenting with abdominal pain and vomiting.

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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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Mysterious Gelly Belly: a Case Report of Pseudomyxoma Peritonei and Literature Review

Journal of Gastroenterology & Digestive Systems ◽

10.33140/jgds.04.02.02 ◽

2020 ◽

Vol 4 (2) ◽

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Literature Review ◽

Pseudomyxoma Peritonei ◽

Clinical Condition ◽

Imaging Techniques ◽

Abdominal Distension ◽

Exploratory Laparotomy ◽

Primary Site ◽

Diffuse Abdominal Pain

Pseudomyxoma peritonei (PMP) is a rare clinical condition defined as extensive intraperitoneal spread of mucus associated with a variety of mucinous tumors. Although appendix has usually been implicated as the primary site, some reports found no cause. This case also describes a PMP with no identifiable primary site. A 52-year-old male presented with an abdominal distension evolving for 3 months associated with diffuse abdominal pain, imaging techniques objective intra peritoneal mucoid materials with septated ascites but it failed to identify the primary site. Exploratory laparotomy with Biopsy confirmed PMP but also failed to found the original site.

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A Case of Severe Diffuse Abdominal Pain

Bedtime Gastroenterology ◽

10.5005/jp/books/10090_78 ◽

2007 ◽

pp. 151-151

Author(s):

Manoj Ghoda

Keyword(s):

Abdominal Pain ◽

Diffuse Abdominal Pain

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Pregnant patient with acute abdominal pain and previous bariatric surgery

BMJ Case Reports ◽

10.1136/bcr-2018-228962 ◽

2019 ◽

Vol 12 (8) ◽

pp. e228962 ◽

Cited By ~ 4

Author(s):

Wouter KG Leclercq ◽

Martine Uittenbogaart ◽

Hendrik J Niemarkt ◽

Judith OEH van Laar

Keyword(s):

Bariatric Surgery ◽

Abdominal Pain ◽

Gestational Age ◽

Acute Abdominal Pain ◽

Gastric Bypass Surgery ◽

Pregnant Patient ◽

Internal Herniation ◽

Diffuse Abdominal Pain ◽

Imaging Patient

Pregnant women who previously had bariatric surgery may develop acute abdominal pain during pregnancy. Two patients, 38-year-old twin primigravida (gestational age of 24+6 weeks) and a 26-year-old woman (gestational age of 24+0 weeks), both of whom had laparoscopic gastric bypass surgery previously, developed abdominal pain. The patients both had diffuse abdominal pain in combination with normal blood tests and imaging. Patient B had undergone laparoscopy at another centre after 5 weeks of gestation for internal herniation. After referral to our multidisciplinary bariatric–obstetric–neonatal (MD-BON) team, diagnostic laparoscopy was advised as internal herniation was deemed possible. In both patients, internal herniation was indeed found in Petersen’s space and jejunal mesenteric defect, which was closed using laparoscopic surgery. Both women delivered healthy offspring afterwards. The presence of an MD-BON team allows for an increased awareness of potential long-term complications associated with earlier bariatric surgery in pregnancy.

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Novel deleterious sequence change in the NLRP12 gene in a child with autoinflammatory syndrome, joint hypermobility and cutis laxa from India.

Mediterranean Journal of Hematology and Infectious Diseases ◽

10.4084/mjhid.2019.018 ◽

2019 ◽

Vol 11 (1) ◽

pp. e2019018 ◽

Cited By ~ 3

Author(s):

Kanjaksha Ghosh ◽

Kanchan Mishra ◽

Avani Shah ◽

Parizad Patel ◽

Shrimati Shetty

Keyword(s):

Abdominal Pain ◽

Acute Intermittent Porphyria ◽

Joint Hypermobility ◽

Autoinflammatory Syndrome ◽

Healthy Male ◽

Diffuse Abdominal Pain ◽

Sequence Change ◽

Mediterranean Fever ◽

Loss Of Appetite ◽

Work Up

An otherwise healthy male child of 9 years presented with paroxysmal fever and diffuse abdominal pain along with loss of appetite and nausea lasting for 3-4days every 4-6 weeks for last 2 years. He also has stretchable skin and hypermobile joint which he inherited from his mother who never suffered any paroxysmal attack of the kind. Work up for acute intermittent porphyria, lead poisoning and familial mediterranean fever was negative. A novel harmful sequence change in NLRP12 gene was detected and a diagnosis of NLRP12 associated autoinflammatory syndrome was made. This sequence change with disease has not yet been reported in the literature and is the first such case of NLRP12 related autoinflammatory syndrome from India.

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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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