Published online Jul 16, 2018. doi: 10.12998/wjcc.v6.i7.156
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
A 57-year-old woman was admitted for upper abdominal pain and distention.
Physical examination revealed the abdomen was distended and tender diffusely with shifting dullness present and slight upper abdominal tenderness.
Peritoneal tuberculosis, cirrhosis with ruptured hepatocellular carcinoma, or pancreatic ascites were considered.
Laboratory investigations showed elevated peripheral eosinophil with significant eosinophilia (65.6%).
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.
Histological examination demonstrated characteristic histological findings of mild eosinophilic infiltration into the duodenal mucosa.
She was empirically treated with ketotifen 1 mg bid po.
This is the first report of a rare case of massive hemorrhagic ascites in EG.
Eosinophilic gastroenteritis is a rare gastrointestinal disorder characterized by eosinophilic infiltration of the gastrointestinal tract wall with various gastrointestinal manifestations.
Clinicians should consider the differential diagnosis of unexplained hemorrhagic ascites.