Ascites in a Young Woman: A Rare Presentation of Eosinophilic Gastroenteritis
Joint Authors
Santos, Carina
Morgado, Francisco
Blanco, Celestina
Parreira, João
Costa, João
Rodrigues, Lara
Marfull, Luís
Cardoso, Patrícia
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-05-10
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Eosinophilic gastroenteritis (EGE) is a rare idiopathic disease that can affect one or more organs of the digestive tract.
It has an estimated incidence of 1–20 cases per 100,000 patients.
Klein et al.
classified EGE into 3 subtypes: predominant mucosal, muscular, or subserosal.
Clinical Case.
We report a case of a 32-year-old woman, who presented with diffuse abdominal pain, nausea, postprandial infarction, diarrhea, and moderate ascites of three-week evolution.
The rest of physical examination did not show alterations.
The past medical history was unremarkable.
Laboratory test results revealed peripheral blood eosinophilia.
Abdominal CT scan revealed diffuse and concentric parietal thickening of the distal 2/3 of esophagus, moderate volume ascites, and small bowel wall thickening and distension on the left quadrants.
The paracentesis revealed 93.3% of eosinophils.
The colon biopsies evidenced an increase in the number of eosinophils.
Secondary causes of eosinophilia were excluded.
The patient was treated with oral prednisolone 40 mg/day with immediate clinical and analytical improvement.
Conclusion.
Eosinophilic gastroenteritis is a rare condition with a nonspecific and highly variable clinical presentation, which requires a high level of clinical suspicion.
It is a diagnosis of exclusion.
Secondary causes of eosinophilia such as intestinal tuberculosis, parasitosis, and malignant neoplasms should be excluded.
American Psychological Association (APA)
Santos, Carina& Morgado, Francisco& Blanco, Celestina& Parreira, João& Costa, João& Rodrigues, Lara…[et al.]. 2018. Ascites in a Young Woman: A Rare Presentation of Eosinophilic Gastroenteritis. Case Reports in Gastrointestinal Medicine،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143395
Modern Language Association (MLA)
Santos, Carina…[et al.]. Ascites in a Young Woman: A Rare Presentation of Eosinophilic Gastroenteritis. Case Reports in Gastrointestinal Medicine No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1143395
American Medical Association (AMA)
Santos, Carina& Morgado, Francisco& Blanco, Celestina& Parreira, João& Costa, João& Rodrigues, Lara…[et al.]. Ascites in a Young Woman: A Rare Presentation of Eosinophilic Gastroenteritis. Case Reports in Gastrointestinal Medicine. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143395
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143395