scholarly journals S2977 Eosinophilic Ascites: Rare Presentations of Eosinophilic Gastroenteritis (EGE)

2021 ◽  
Vol 116 (1) ◽  
pp. S1232-S1233
Author(s):  
He Qiu ◽  
Steven Krawitz ◽  
Ozlem Fidan-Ozbilgin
2020 ◽  
Vol 50 (3) ◽  
pp. 277-279
Author(s):  
Jagadeesh Menon ◽  
Vybhav Venkatesh ◽  
Anmol Bhatia ◽  
Surinder S Rana ◽  
Sadhna B Lal

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.


2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Nasrollah Maleki ◽  
Mohammadreza Kalantar Hormozi ◽  
Mehrzad Bahtouee ◽  
Zahra Tavosi ◽  
Hamidreza Mosallai Pour ◽  
...  

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.


CytoJournal ◽  
2010 ◽  
Vol 7 ◽  
pp. 19 ◽  
Author(s):  
Namrata Setia ◽  
Peter Ghobrial ◽  
Pantanowitz Liron

Background: There is a broad etiology for effusion eosinophilia that includes allergic, reactive, infectious, immune, neoplastic, and idiopathic causes. We report and describe the cytomorphologic findings of a rare case of eosinophilic ascites due to severe eosinophilic ileitis. Case Presentation: A 17-year-old male manifested acutely with eosinophilic ascites due to severe biopsy-proven subserosal eosinophilic ileitis. Isolated peritoneal fluid submitted for cytologic evaluation revealed that 65% eosinophils were present in a bloody background. The patient responded to corticosteroids, with complete resolution of his ascites. Conclusion: Eosinophilic gastroenteritis with subserosal involvement should be added to the list of causes for eosinophils in peritoneal fluid. The finding of eosinophilic ascites, with appropriate clinical and laboratory findings, may warrant the need to perform laparoscopic intestinal biopsies to confirm the diagnosis.


Author(s):  
Yasir Cagin ◽  
Yılmaz Bilgic ◽  
İlhami Berber ◽  
Mehmet Erdogan ◽  
Oguzhan Yildirim ◽  
...  

2021 ◽  
Vol 14 (3) ◽  
pp. e240509
Author(s):  
Erica Jalal ◽  
Megan Metzger ◽  
Pratibha Surathi ◽  
Kathleen Mangunay Pergament

Eosinophilic ascites is a rare type of exudative ascites most commonly caused by eosinophilic gastroenteritis. Here, a 57-year-old man presents with sudden-onset abdominal distension associated with nausea, vomiting and decreased appetite for 10 days. Physical examination revealed significant abdominal distention and fluid wave. Initial labs showed leucocytosis and mild peripheral eosinophilia. Imaging of his abdomen revealed severe ascites, no features of cirrhosis and diffuse inflammatory changes involving the jejunum and ileum. Diagnostic paracentesis showed exudative, ascitic fluid with predominant eosinophilia. Cytology of the ascitic fluid and blind biopsies taken during oesophagogastroduodenoscopy and enteroscopy were both negative for malignancy. The ascites reaccumulated rapidly, requiring five rounds of large-volume paracentesis during hospitalisation. Empiric treatment for suspected eosinophilic gastroenteritis with intravenous steroids improved and stabilised the patient’s ascites for discharge. Parasitic workup resulted positively for Toxocara antibodies on ELISA. On 2-week outpatient follow-up, a course of albendazole resolved all gastrointestinal symptoms.


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