Eosinophilic gastroenteritis presenting as an acute abdomen with ascites - A case report and review of the literature
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://revista.spmi.pt/index.php/rpmi/article/view/1925 |
Resumo: | A clinicai case-report of eosinophilic gastroenteritis, in a 36-year-old man, admitted for a 2º episode of incomplete abdominal obstruction in 2 years, is presented. As well as the clinicai picture of epigastric burning, cramping abdominal pain and vomiting the patient had an eosinophilic ascitis and eosinophilia was present on the full blood count. There was no history of allergy. Endoscopic and Japaroscopic biopsies revealed intense eosinophilic infiltration involving both serosa] and muscular layers and a mild eosinophilic in.iltration of the intestinal mucosa. There was no evidence of intestinal parasitosis. A short course of oral steroids was started and there was an impressive improvement of symptoms and resolution of ascites within a week. This case shows (1) a rare disease, (2) a non-surgical cause of acute abdominal pain of obscure origin, (3) the chronicity and relapsing character of the disease, and (4) the efficacy of short course steroids. We review the literature focusing on new aspects of eosinophil pathogenesis and the interface with idiopathic hypereosinophilic syndrome. |
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Eosinophilic gastroenteritis presenting as an acute abdomen with ascites - A case report and review of the literatureAbdómen agudo com ascite, como apresentação de gastroenterite eosinofílica - Caso clínico e revisão da literaturagastroenterite eosinofilicaascite eosinofilicaeosinofiliaabdómen agudoeosinophilic gastroenteritiseosinophilic asciteseosinophiliaacute abdomenA clinicai case-report of eosinophilic gastroenteritis, in a 36-year-old man, admitted for a 2º episode of incomplete abdominal obstruction in 2 years, is presented. As well as the clinicai picture of epigastric burning, cramping abdominal pain and vomiting the patient had an eosinophilic ascitis and eosinophilia was present on the full blood count. There was no history of allergy. Endoscopic and Japaroscopic biopsies revealed intense eosinophilic infiltration involving both serosa] and muscular layers and a mild eosinophilic in.iltration of the intestinal mucosa. There was no evidence of intestinal parasitosis. A short course of oral steroids was started and there was an impressive improvement of symptoms and resolution of ascites within a week. This case shows (1) a rare disease, (2) a non-surgical cause of acute abdominal pain of obscure origin, (3) the chronicity and relapsing character of the disease, and (4) the efficacy of short course steroids. We review the literature focusing on new aspects of eosinophil pathogenesis and the interface with idiopathic hypereosinophilic syndrome.Apresentamos um caso de gastroenterite eosinofilica num homem de 36 anos admitido no nosso hospital por 2º episódio de quadro obstrutivo intestinal incompleto nos últimos 2 anos. Além de ardor epigástrico, vómitos, dor e distensão timpânica abdominal apresentava ainda ascite eosinofilica e eosinofilia periférica. As biopsias do tubo digestivo por via endoscópíca e laparoscópica demonstraram intensa infiltração eosinofilica do peritoneu e do estômago, envolvendo as túnicas serosa e muscular e, em menor grau, da mucosa cólica. Descartadas outras causas de eosinofilia periférica, nomeadamente infecção parasitária, iniciou corticoterapia com melhoria dramática dos sintomas e resolução da ascite e da eosinofilia, o que permitiu o seu desmame progressivo, encontrando-se até à data assintomático e livre de recidiva. Este caso ilustra: (1) um diagnóstico raro; (2) uma causa não cirúrgica adicional a considerar no diagnóstico diferencial de abdómen agudo; (3) o carácter crónico e recidivante da doença; e (4) o sucesso clínico da corticoterapia em regime curto. Procede-se a uma revisão da literatura, focando aspectos inovadores da patogénese e o controverso diagnóstico diferencial com a síndroma hipereosinofílica idiopática.Sociedade Portuguesa de Medicina Interna2023-06-06info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spmi.pt/index.php/rpmi/article/view/1925Internal Medicine; Vol. 8 No. 4 (2001): Outubro/ Dezembro; 196-204Medicina Interna; Vol. 8 N.º 4 (2001): Outubro/ Dezembro; 196-2042183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/1925https://revista.spmi.pt/index.php/rpmi/article/view/1925/1351Carvalho Mendes, AntónioPonte, AlcinaPereira, AmáliaGonçalves, Mornainfo:eu-repo/semantics/openAccess2023-06-10T06:10:58Zoai:oai.revista.spmi.pt:article/1925Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:00:05.037725Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Eosinophilic gastroenteritis presenting as an acute abdomen with ascites - A case report and review of the literature Abdómen agudo com ascite, como apresentação de gastroenterite eosinofílica - Caso clínico e revisão da literatura |
title |
Eosinophilic gastroenteritis presenting as an acute abdomen with ascites - A case report and review of the literature |
spellingShingle |
Eosinophilic gastroenteritis presenting as an acute abdomen with ascites - A case report and review of the literature Carvalho Mendes, António gastroenterite eosinofilica ascite eosinofilica eosinofilia abdómen agudo eosinophilic gastroenteritis eosinophilic ascites eosinophilia acute abdomen |
title_short |
Eosinophilic gastroenteritis presenting as an acute abdomen with ascites - A case report and review of the literature |
title_full |
Eosinophilic gastroenteritis presenting as an acute abdomen with ascites - A case report and review of the literature |
title_fullStr |
Eosinophilic gastroenteritis presenting as an acute abdomen with ascites - A case report and review of the literature |
title_full_unstemmed |
Eosinophilic gastroenteritis presenting as an acute abdomen with ascites - A case report and review of the literature |
title_sort |
Eosinophilic gastroenteritis presenting as an acute abdomen with ascites - A case report and review of the literature |
author |
Carvalho Mendes, António |
author_facet |
Carvalho Mendes, António Ponte, Alcina Pereira, Amália Gonçalves, Morna |
author_role |
author |
author2 |
Ponte, Alcina Pereira, Amália Gonçalves, Morna |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Carvalho Mendes, António Ponte, Alcina Pereira, Amália Gonçalves, Morna |
dc.subject.por.fl_str_mv |
gastroenterite eosinofilica ascite eosinofilica eosinofilia abdómen agudo eosinophilic gastroenteritis eosinophilic ascites eosinophilia acute abdomen |
topic |
gastroenterite eosinofilica ascite eosinofilica eosinofilia abdómen agudo eosinophilic gastroenteritis eosinophilic ascites eosinophilia acute abdomen |
description |
A clinicai case-report of eosinophilic gastroenteritis, in a 36-year-old man, admitted for a 2º episode of incomplete abdominal obstruction in 2 years, is presented. As well as the clinicai picture of epigastric burning, cramping abdominal pain and vomiting the patient had an eosinophilic ascitis and eosinophilia was present on the full blood count. There was no history of allergy. Endoscopic and Japaroscopic biopsies revealed intense eosinophilic infiltration involving both serosa] and muscular layers and a mild eosinophilic in.iltration of the intestinal mucosa. There was no evidence of intestinal parasitosis. A short course of oral steroids was started and there was an impressive improvement of symptoms and resolution of ascites within a week. This case shows (1) a rare disease, (2) a non-surgical cause of acute abdominal pain of obscure origin, (3) the chronicity and relapsing character of the disease, and (4) the efficacy of short course steroids. We review the literature focusing on new aspects of eosinophil pathogenesis and the interface with idiopathic hypereosinophilic syndrome. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-06 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/1925 |
url |
https://revista.spmi.pt/index.php/rpmi/article/view/1925 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/1925 https://revista.spmi.pt/index.php/rpmi/article/view/1925/1351 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
dc.source.none.fl_str_mv |
Internal Medicine; Vol. 8 No. 4 (2001): Outubro/ Dezembro; 196-204 Medicina Interna; Vol. 8 N.º 4 (2001): Outubro/ Dezembro; 196-204 2183-9980 0872-671X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131669677998080 |