A rare case of spontaneous resolution of eosinophilic ascites in a patient with primary eosinophilic gastroenteritis

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.

Download Full-text

Eosinophilic ascites: an unusual manifestation of eosinophilic gastroenteritis

International Journal of Colorectal Disease ◽

10.1007/s00384-020-03510-4 ◽

2020 ◽

Vol 35 (4) ◽

pp. 765-767

Author(s):

Wan Feng ◽

Kai Zheng ◽

Hong Shen

Keyword(s):

Eosinophilic Gastroenteritis ◽

Unusual Manifestation ◽

Eosinophilic Ascites

Download Full-text

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.

Download Full-text

Eosinophilic Ascites and Duodenal Obstruction in a Patient with Liver Cirrhosis

Case Reports in Gastrointestinal Medicine ◽

10.1155/2014/928496 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4

Author(s):

Nasrollah Maleki ◽

Mohammadreza Kalantar Hormozi ◽

Mehrzad Bahtouee ◽

Zahra Tavosi ◽

Hamidreza Mosallai Pour ◽

...

Keyword(s):

Liver Cirrhosis ◽

Duodenal Obstruction ◽

Gastrointestinal Endoscopy ◽

Eosinophilic Gastroenteritis ◽

Pathological Findings ◽

Peripheral Eosinophilia ◽

Rare Presentation ◽

Bacterial Peritonitis ◽

Eosinophilic Ascites ◽

History Of

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.

Download Full-text

A rare case of acquired infantile Bell’s palsy

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20212498 ◽

2021 ◽

Vol 8 (7) ◽

pp. 1316

Author(s):

Lakshmi Mulinja ◽

Thanzir Mohammed ◽

Varun Govindarajan ◽

Mallesh Kariyappa

Keyword(s):

Case Report ◽

Facial Palsy ◽

Rare Case ◽

Bell’S Palsy ◽

Acute Onset ◽

Spontaneous Resolution ◽

Bell's Palsy ◽

Peripheral Facial Palsy ◽

Oral Corticosteroids ◽

Viral Illness

Bell’s palsy, an acute onset, acquired, isolated peripheral facial palsy, usually follows a viral illness, is common disorder post infancy to adolescence. It has a favourable prognosis with spontaneous resolution, or with use of oral corticosteroids. Its presentation in early infancy is very unusual, as in our case report of 3 month old infant with an ovoid mass lesion in parotid, which disappeared after therapy with corticosteroids with no residual deficit.

Download Full-text

Spontaneous resolution of CCAM: a rare presentation

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20175542 ◽

2017 ◽

Vol 5 (1) ◽

pp. 251

Author(s):

Mumtaz Shariff ◽

Swati Singh ◽

Amit Saxena ◽

Ashok Sharma ◽

Prashant Abusaria

Keyword(s):

Rare Case ◽

Surgical Excision ◽

Spontaneous Resolution ◽

Favorable Outcome ◽

Congenital Cystic Adenomatoid Malformation ◽

Developmental Abnormality ◽

Rare Presentation ◽

Lung Cysts ◽

Live Births ◽

One Year

Congenital cystic adenomatoid malformation (CCAM) is a rare developmental abnormality of lung occuring in 1-4/100000 live births. The mainstay of treatment is usually surgical excision as it can lead to recurrent pneumonias, abscess or malignancy. We here report a rare case of CCAM who presented at one year of age with right sided lung cysts and had favorable outcome as it resolved spontaneously.

Download Full-text

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

The American Journal of Gastroenterology ◽

10.14309/01.ajg.0000785440.95889.61 ◽

2021 ◽

Vol 116 (1) ◽

pp. S1232-S1233

Author(s):

He Qiu ◽

Steven Krawitz ◽

Ozlem Fidan-Ozbilgin

Keyword(s):

Eosinophilic Gastroenteritis ◽

Eosinophilic Ascites

Download Full-text

Spontaneous Disappearance of Unruptured Intracranial Aneurysm: A Case Report

Kosin Medical Journal ◽

10.7180/kmj.2021.36.2.148 ◽

2021 ◽

Vol 36 (2) ◽

pp. 148-152

Author(s):

Sang Hoon Jeong ◽

Jung Hwan Lee ◽

Tae Hong Lee ◽

Chang Hwa Choi

Keyword(s):

Intracranial Aneurysms ◽

Rare Case ◽

Unruptured Aneurysm ◽

Spontaneous Resolution ◽

Anterior Communicating Artery ◽

Unruptured Intracranial Aneurysm ◽

Related Literature ◽

Unruptured Aneurysms ◽

Spontaneous Disappearance ◽

Ruptured Intracranial Aneurysms

Spontaneous resolution or thrombosis of giant or ruptured intracranial aneurysms is occasionally reported. However, spontaneous resolution of unruptured aneurysms without any intervention is extremely rare. Recently, we encountered a case of spontaneous resolution of a small unruptured aneurysm of the anterior communicating artery. We describe this rare case and discuss the mechanism of resolution with a review of the related literature.

Download Full-text