Eosinophilic ascites

Abstract

Hypereosinophilic syndrome is a multisystem disease with progressive valvular dysfunction as a prominent feature. Ascites has not been recognized as a part of this syndrome. This paper presents a patient with hypereosinophilic syndrome who initially developed ascites and was recognized to have cardiac disease. The differential diagnosis of eosinophilic ascites is discussed.

Eosinophilic ascites due to severe eosinophilic ileitis

“…The presence of increased eosinophils in peritoneal fluid should prompt clinicians to exclude obvious causes (e.g., pneumoperitoneum, chronic peritoneal dialysis, congestive heart failure), neoplasia, as well as more rare entities such as vasculitis and a ruptured hydatid cyst. [318] In our case, severe eosinophilic ileitis with serosal involvement was the likely cause of this patient’s eosinophilic ascites. Considering the bloody background in our case, however, the possibility of blood contamination was raised as a potential source of eosinophilia.…”