Eosinophilic gastroenteritis is a rare inflammatory disorder of the gastrointestinal tract with an estimated prevalence of one in 100,000. The typical presentation consists of vague gastrointestinal symptoms with the mucosal involvement of the digestive system. Rarely, it presents as eosinophilic ascites. We report the case of a 22-year-old female who presented with acute onset abdominal pain and ascites. The laboratory studies were remarkable for eosinophilia and the ascitic fluid demonstrated high eosinophilic counts. Push enteroscopy with biopsy supported the diagnosis of eosinophilic gastroenteritis, with likely serosal involvement. Other differential diagnoses were excluded. A prednisone taper along with dietary treatment was initiated. We report complete resolution of symptoms two weeks following the initiation of therapy. Nine months later, she remains asymptomatic without recurrence of ascites.
INTRODUCTIONGastric varices are found most frequently in patients with portal hypertension. 1 While gastric varices bleed less than esophageal varices, bleeding from gastric varices is often more severe and life threatening. A less common but significant cause of gastric varices is due to isolated left-sided portal hypertension (LSPH). 2 We present a case of bleeding gastric varices secondary to LSPH caused by a splenic vein thrombosis (SVT).
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