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Postpartum Eosinophilic Ascites: A Case Report.

Inês Gonçalves¹, Ana Filipa S Pinho², Ana Antunes³

¹Department of Internal Medicine, Hospital de Braga, Braga, PRT.

|April 22, 2022

Summary

Eosinophilic gastrointestinal diseases (EGID) can affect the GI tract, but eosinophilic ascites (EA) is rare. This case highlights EA as an uncommon postpartum presentation of EGID, emphasizing diagnostic vigilance.

Keywords:

ascites eosinophilic gastroenteritis hypereosinophilia hypereosinophilic syndrome postpartum

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Area of Science:

Gastroenterology
Immunology

Background:

Eosinophilic gastrointestinal diseases (EGID) involve eosinophilic infiltration of the GI tract without other known causes.
Distinguishing EGID from hypereosinophilic syndrome (HES) with GI involvement can be challenging due to overlapping clinical features.

Observation:

A 26-year-old woman presented with eosinophilic ascites (EA) postpartum, an uncommon manifestation of EGID.
This case highlights a rare postpartum syndrome associated with EGID.

Findings:

The patient was diagnosed with eosinophilic gastroenteritis presenting as EA.
The diagnosis required high suspicion to differentiate from other causes of eosinophilia.

Implications:

Early and accurate diagnosis of EGID, particularly rare presentations like postpartum EA, is crucial.
Recognizing this specific postpartum syndrome is essential for timely and appropriate management, as treatments vary based on the underlying cause.