Abstract
Introduction
Eosinophilic gastroenteritis is an uncommon disorder, characterized by eosinophilic infiltration of the gastrointestinal tract. Clinical presentations are variable. It depends on the involvement of GI layer. Eosinophilic ascites is a rare presentation of eosinophilic gastroenteritis and is often associated with the serosal form.
Case presentation
In this paper, we present a 26-year-old male with EGE who presented with massive hemorrhagic ascites and was successfully treated with steroids.
Conclusion
The diagnosis of eosinophilic gastroenteritis requires histopathological examination and is often made after the exclusion of other possible causes of eosinophilia. EGE should be considered in a patient with unexplained hemorrhagic ascites.
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References
Uppal V, Kreiger P, Kutsch E (2016) Eosinophilic gastroenteritis and colitis: a comprehensive review. Clin Rev Allergy Immunol 50(2):175–188
de Chambrun GP, Dufour G, Tassy B, Rivière B, Bouta N, Bismuth M, Panaro F, Funakoshi N, Ramos J, Valats J-C (2018) Diagnosis, natural history and treatment of eosinophilic enteritis: a review. Curr Gastroenterol Rep 20(8):37
KLEIN NC, HARGROVE RL, SLEISENGER MH, JEFFRIES GH (1970) Eosinophilic gastroenteritis. Medicine 49(4):299–320
Rached AA, El Hajj W (2016) Eosinophilic gastroenteritis: approach to diagnosis and management. World J Gastrointest Pharmacol Ther 7(4):513–523
Santos C, Morgado F, Blanco C, Parreira J, Costa J, Rodrigues L, Marfull L, Cardoso P (2018) Ascites in a young woman: a rare presentation of eosinophilic gastroenteritis. Case Rep Gastrointest Med 2018
Alhmoud T, Hanson JA, Parasher G (2016) Eosinophilic gastroenteritis: an underdiagnosed condition. Dig Dis Sci 61(9):2585–2592
Sunkara T, Rawla P, Yarlagadda KS, Gaduputi V (2019) Eosinophilic gastroenteritis: diagnosis and clinical perspectives. Clin Exp Gastroenterol 12:239
Zhang M, Li Y (2017) Eosinophilic gastroenteritis: a state-of-the-art review. J Gastroenterol Hepatol 32(1):64–72
de Chambrun GP, Gonzalez F, Canva JY, Gonzalez S, Houssin L, Desreumaux P, Cortot A, Colombel JF (2011) Natural history of eosinophilic gastroenteritis. Clinical Gastroenterology and Hepatology 9 (11):950–956. e951
Shabeerali T, Rajan R, Kuruvilla A, Noronha S, Krishnadas D, Shenoy K, Manjula M, Shenoy S, Raji NL (2012) Hemorrhagic ascites: are we missing endometriosis? Indian J Gastroenterol 31(4):195–197
Shi L, Jia Q-H, Liu F-J, Guan H, Jiang Z-Y (2018) Massive hemorrhagic ascites: a rare presentation of eosinophilic gastroenteritis. World journal of clinical cases 6(7):156–160
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Feng, W., Zheng, K. & Shen, H. Eosinophilic ascites: an unusual manifestation of eosinophilic gastroenteritis. Int J Colorectal Dis 35, 765–767 (2020). https://doi.org/10.1007/s00384-020-03510-4
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DOI: https://doi.org/10.1007/s00384-020-03510-4