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©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2018; 6(7): 156-160
Published online Jul 16, 2018. doi: 10.12998/wjcc.v6.i7.156
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, 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
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
Core Tip
Core tip: Eosinophilic gastroenteritis (EG) with ascites is extremely rare. We report a 57-year-old woman with EG and massive hemorrhagic ascites who underwent endoscopy and abdominal paracentesis. Differential diagnoses included other causes of tissue eosinophilia. The patient was in good condition 1 year after drug therapy with no recurrence of ascites and gastrointestinal symptoms. To our knowledge, this is the first report of a rare case of massive hemorrhagic ascites in EG. Clinicians should consider the differential diagnosis of unexplained hemorrhagic ascites, especially in patients with gastrointestinal mucosa lesion, peripheral eosinophilia, and ascites.