PMID- 26392801
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20150922
LR  - 20201001
IS  - 1319-1683 (Print)
IS  - 2229-340X (Electronic)
IS  - 1319-1683 (Linking)
VI  - 22
IP  - 3
DP  - 2015 Sep-Dec
TI  - Eosinophilic ascites: A case report and literature review.
PG  - 183-5
LID - 10.4103/2230-8229.163042 [doi]
AB  - Eosinophilic gastroenteritis is a rare gastrointestinal (GI) disorder 
      characterized by nonspecific GI symptoms, peripheral eosinophilia, and 
      eosinophilic infiltration of the intestinal wall. The disorder is classified into 
      mucosal, muscular, and sub-serosal types, depending on the clinical picture and 
      the depth of eosinophilic infiltration within the GI wall. Sub-serosal disease, 
      which is complicated by ascites, usually results in the most severe clinical form 
      of eosinophilic gastroenteritis and requires early corticosteroid therapy. In 
      such cases, a favorable outcome can be achieved after a short course of 
      corticosteroids. We present the case of a 28-year-old female with diffuse 
      abdominal pain and distention for 2 weeks. Her physical examination was 
      significant for moderate ascites. Initial work-up demonstrated severe peripheral 
      blood eosinophilia, normal liver function tests, and elevated serum 
      immunoglobulin E (IgE). Upper endoscopy, colonoscopy showed a thickening of the 
      stomach and colon, and biopsies showed marked eosinophilic infiltration of the 
      mucosa. Ascitic fluid analysis showed significant eosinophilia. Subsequent 
      treatment with oral prednisone resulted in the normalization of laboratory and 
      radiologic abnormalities 45 days after the start of the treatment. Despite its 
      rarity, eosinophilic gastroenteritis needs to be recognized by the clinician 
      because the disease is treatable, and timely diagnosis and initiation of 
      treatment could be of major importance.
FAU - Alsulaiman, Raed M
AU  - Alsulaiman RM
AD  - Department of Internal Medicine, King Fahad Hospital of the University, 
      University of Dammam, Dammam, Kingdom of Saudi Arabia.
LA  - eng
PT  - Case Reports
PL  - India
TA  - J Family Community Med
JT  - Journal of family & community medicine
JID - 100911100
PMC - PMC4558742
OTO - NOTNLM
OT  - Eosinophilic ascites
OT  - eosinophilic gastroenteritis
OT  - gastrointestinal disorder
EDAT- 2015/09/24 06:00
MHDA- 2015/09/24 06:01
PMCR- 2015/09/01
CRDT- 2015/09/23 06:00
PHST- 2015/09/23 06:00 [entrez]
PHST- 2015/09/24 06:00 [pubmed]
PHST- 2015/09/24 06:01 [medline]
PHST- 2015/09/01 00:00 [pmc-release]
AID - JFCM-22-183 [pii]
AID - 10.4103/2230-8229.163042 [doi]
PST - ppublish
SO  - J Family Community Med. 2015 Sep-Dec;22(3):183-5. doi: 10.4103/2230-8229.163042.