آسیت ائوزینوفیلیک و انسداد دوازدهه در یک بیمار با سیروز کبدی

Title

Eosinophilic Ascites and Duodenal Obstruction in a Patient with Liver Cirrhosis

English Abstract

Eosinophilic gastroenteritis (EG) is a rare disease characterized by eosinophilic infiltration of portions of the gastrointestinal tract. Eosinophilic ascites is probably the most unusual and rare presentation of EG and is generally associated with the serosal form of EG. Hereby, we report a case of eosinophilic ascites with duodenal obstruction in a patient with liver cirrhosis. A 50-year-old woman was admitted to our hospital in because of abdominal pain, nausea, bloating, and constipation. She had a history of laparotomy because of duodenal obstruction since 2 years ago. Based on clinical, radiological, endoscopic and pathological findings findings, and given the excluding the other causes of peripheral eosinophilia, the diagnosis of eosinophilic gastroenteritis along with liver cirrhosis and spontaneous bacterial peritonitis was established. Based on the findings of the present case, it is highly recommended that in the patients presented with liver cirrhosis associated with peripheral blood or ascitic fluid eosinophilia, performing gastrointestinal endoscopy and biopsy can probably reveal this rare disorder of EG.

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