Shi L, Jia QH, Liu FJ, Guan H, Jiang ZY. Massive hemorrhagic ascites: A rare presentation of eosinophilic gastroenteritis. World J Clin Cases 2018; 6(7): 156-160 [PMID: 30079343 DOI: 10.12998/wjcc.v6.i7.156]
Corresponding Author of This Article
Lei Shi, MD, PhD, Doctor, Department of Gastroenterology, the Eighth Affiliated Hospital of Guangxi Medical University, No. 1 Zhongshan Road, Guangxi 537100, Guangxi Zhuang Autonomous Region, China. ycymoment@hotmail.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 16, 2018; 6(7): 156-160 Published online Jul 16, 2018. doi: 10.12998/wjcc.v6.i7.156
Massive hemorrhagic ascites: A rare presentation of eosinophilic gastroenteritis
Lei Shi, Qiu-Hong Jia, Fu-Jian Liu, Hang Guan, Zhi-Yong Jiang
Lei Shi, Qiu-Hong Jia, Fu-Jian Liu, Hang Guan, Zhi-Yong Jiang, Department of Gastroenterology, the Eighth Affiliated Hospital of Guangxi Medical University, Guigang 537100, Guangxi Zhuang Autonomous Region, China
Author contributions: Shi L conceived and coordinated the study, and participated in data collection, and manuscript writing; Jia QH participated in the study design, data collection, production of histopathological figures, and manuscript writing; Liu FJ, Guan H and Jiang ZY participated in data collection and manuscript writing.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare no conflict of interest related to the manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Lei Shi, MD, PhD, Doctor, Department of Gastroenterology, the Eighth Affiliated Hospital of Guangxi Medical University, No. 1 Zhongshan Road, Guangxi 537100, Guangxi Zhuang Autonomous Region, China. ycymoment@hotmail.com
Telephone: +86-775-4200028 Fax: +86-775-4200028
Received: February 15, 2018 Peer-review started: February 19, 2018 First decision: March 12, 2018 Revised: May 2, 2018 Accepted: May 30, 2018 Article in press: May 30, 2018 Published online: July 16, 2018 Processing time: 148 Days and 7.6 Hours
ARTICLE HIGHLIGHTS
Case characteristics
A 57-year-old woman was admitted for upper abdominal pain and distention.
Clinical diagnosis
Physical examination revealed the abdomen was distended and tender diffusely with shifting dullness present and slight upper abdominal tenderness.
Differential diagnosis
Peritoneal tuberculosis, cirrhosis with ruptured hepatocellular carcinoma, or pancreatic ascites were considered.
Laboratory diagnosis
Laboratory investigations showed elevated peripheral eosinophil with significant eosinophilia (65.6%).
Imaging diagnosis
Ultrasonography showed massive abdominal ascites. Computed tomography imaging also showed peritoneal fluid, but, more importantly, an accompanied local mild thickening of the right rear rectum wall.
Pathological diagnosis
Histological examination demonstrated characteristic histological findings of mild eosinophilic infiltration into the duodenal mucosa.
Treatment
She was empirically treated with ketotifen 1 mg bid po.
Related reports
This is the first report of a rare case of massive hemorrhagic ascites in EG.
Term explanation
Eosinophilic gastroenteritis is a rare gastrointestinal disorder characterized by eosinophilic infiltration of the gastrointestinal tract wall with various gastrointestinal manifestations.
Experiences and lessons
Clinicians should consider the differential diagnosis of unexplained hemorrhagic ascites.
