Acute eosinophilic ascites: An unusual form of an unusual case

Kodan, Parul; Shetty, Meenakshi; Pavan, Gianni; Kariappa, Ahalya; Chakrapani, M

doi:10.1177/0049475514553829

Cited by 5 publications

(7 citation statements)

References 10 publications

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“…In 19 cases, although multiple biopsies were performed, their results revealed normal mucosa. Because of negative biopsy results in the absence of pathological features at abdominal echo, CT scans or endoscopy, in 6 subjects [17][18][50][51][52][53] laparoscopy with peritoneal biopsies provided valuable information to achieve a definite diagnosis. In 3 patients surgery was not performed, and the diagnosis was established according to clinical and biological criteria [33,[54][55].…”

Section: Eosinophilic Gastroenteritis (Ege)mentioning

confidence: 99%

“…In 10 out of 19 cases with endoscopic lesions (1) [34], peritoneal involvement (1) [15], gastrointestinal wall thickening (3) [49,[57][58], endoscopic lesions with gastrointestinal wall thickening (1) [59], as well as in peritoneal involvement and gastrointestinal wall thickening association (1) [ [63][64]. Associations between EGE and autoimmune diseases were described in 3 patients: one with systemic lupus erythematosus [65], one with lupusscleroderma overlap syndrome and heterozygous bthalassemia [57], and another one presenting positive antinuclear antibodies [50].…”

Section: Eosinophilic Gastroenteritis (Ege)mentioning

confidence: 99%

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Causes of eosinophilic ascites – A systematic review

Pinte

Băicuș

2019

Romanian Journal of Internal Medicine

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Background. In the last years an uprising interest for a relatively unknown entity, eosinophilic ascites (EA), has been recorded. Our aim is to investigate the potential causes of EA development, as well as clinical, laboratory, endoscopic and radiologic features, management and outcome in these patients. Methods. The following research was performed on PubMed (MEDLINE) database using the medical subject headings [Mesh] terms “Ascites” AND “Eosinophils”. Results. A total of 284 results, dating from 1962 onwards, were found and abstracts were examined. 131 papers were excluded and the remaining 153 publications, consisting in case reports and series of cases, were analyzed. From 171 patients with EA, 127 subjects (74%) had EGE, 17 (10%) parasitic and fungal infections, 11(7%) Hypereosinophilic syndrome and 16 patients (9%) less common diseases (eosinophilic pancreatitis, chronic eosinophilic leukemia, myelofibrosis, T-cell lymphoma, Churg Strauss Syndrome, Systemic lupus erythematosus, Familial paroxysmal polyserositis and Ménétrier’s disease). High eosinophil blood count and IgE levels as well as gastrointestinal symptoms are frequent. The diagnosis is based on ascitic fluid analysis, imaging and endoscopic biopsies. Therapy with corticosteroids results in resolution of eosinophilic ascites in almost all patients. Conclusion. In most cases, in the absence of allergy, parasitic infections, malignancy, hematological disorders, peritoneal tuberculosis, inflammatory bowel disease or autoimmune disease, EA develops as a manifestation of eosinophilic gastroenteritis.

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Section: Eosinophilic Gastroenteritis (Ege)mentioning

confidence: 99%

Section: Eosinophilic Gastroenteritis (Ege)mentioning

confidence: 99%

Causes of eosinophilic ascites – A systematic review

Pinte

Băicuș

2019

Romanian Journal of Internal Medicine

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“…A previously reported case has serosal involvement in the form of eosinophilic ascites along with positivity for antinuclear antibodies. 7 Endoscopic ultrasonography has been used in adults occasionally to confirm the diagnosis of EGE, 8 but has not been reported in children. It is an attractive modality in this population as it avoids both radiation and contrast.…”

Section: Discussionmentioning

confidence: 99%

“…A previously reported case has serosal involvement in the form of eosinophilic ascites along with positivity for antinuclear antibodies. 7…”

Section: Discussionmentioning

confidence: 99%

Ascites: an unusual presentation of eosinophilic gastroenteritis in a child

et al. 2020

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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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“…The typical clinical picture comprises abdominal pain, vomiting, early satiation, diarrhea and weight loss (infiltration of eosinophils in the mucosal layer), intestinal paralysis (involved muscle layer) and ascites (serosal layer). Histopathological confirmation of eosinophilic infiltration is required for the conclusive diagnosis (7)(8)(9)(10) .…”

Section: Omówieniementioning

confidence: 99%

Eosinophilic ascites: a case report and literature review

Bałajewicz-Nowak¹,

Glanowska²,

Hosiawa³

et al. 2018

Curr. Gynecol. Oncol.

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Wodobrzusze z towarzyszącą antygenemią CA-125 przy jednoczesnym braku onkologicznie podejrzanych zmian w obrębie jajnika jest trudnym problemem diagnostycznym. W toku diagnostyki różnicowej u pacjentek pomiędzy 20. a 50. rokiem życia z wodobrzuszem, aby uniknąć niepotrzebnej interwencji chirurgicznej, należy wziąć pod uwagę rzadkie przyczyny tego objawu, m.in. zespół hipereozynofilowy. Trzydziestosiedmioletnia pacjentka została skierowana do Poradni Ginekologii Onkologicznej Szpitala Uniwersyteckiego w Krakowie z powodu szybko narastającego wodobrzusza z towarzyszącym wzrostem stężenia markera CA-125 powyżej wartości referencyjnych. W szczegółowej diagnostyce obrazowej wykluczono nowotworowe pochodzenie wodobrzusza, a laboratoryjnie stwierdzono hipereozynofilię. Po wykluczeniu innych przyczyn eozynofilii pierwotnej i reaktywnej rozpoznano zespół hipereozynofilowy. Po włączeniu steroidoterapii doustnej zaobserwowano całkowite ustąpienie objawów (w tym wodobrzusza) i unormowanie stężenia CA-125. Obecnie pacjentka nie ma żadnych objawów, pozostaje pod opieką Poradni Chorób Immunologicznych.Słowa kluczowe: wodobrzusze, hipereozynofilia, antygenemia CA-125, zespół hipereozynofilowy Ascites with elevated serum CA-125 but without suspicious adnexal masses is a diagnostic challenge. The differential diagnosis of patients aged 20-50 years old presenting with ascites should account for rare etiologies, such as the hypereosinophilic syndrome. A 37-year-old patient was referred to the Gynecologic Oncology Outpatient Clinic of the University Hospital in Krakow due to rapidly progressing ascites with serum CA-125 above the normal limit. Thorough imaging studies showed no evidence of malignant ascites, whilst hypereosinophilia was detected in laboratory tests. After ruling out other causes of primary and reactive hypereosinophilia, the diagnosis of the hypereosinophilic syndrome was made. After the administration of oral corticosteroid therapy, complete resolution of symptoms (including ascites) was achieved, and CA-125 level returned to normal. Currently, the patient is asymptomatic and is followed up at the Autoimmune Diseases Outpatient Clinic.

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Acute eosinophilic ascites: An unusual form of an unusual case

Cited by 5 publications

References 10 publications

Causes of eosinophilic ascites – A systematic review

Causes of eosinophilic ascites – A systematic review

Ascites: an unusual presentation of eosinophilic gastroenteritis in a child

Eosinophilic ascites: a case report and literature review

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