CHRONIC DIARRHEA, EOSINOPHILIC ASCITES, ACUTE PANCREATITIS AND DEEP VENOUS THROMBOSIS: A CASE REPORT

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BHAT KHALID JAVID; BHAT SANJAY; DUTT KALYAN; GUPTA SAKUL; JEELANI SAMOON HAMAAD

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Journal: Caspian Journal of Internal Medicine Year:2014 | Volume:5 | Issue:3 Page(s): 182-185

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Title

CHRONIC DIARRHEA, EOSINOPHILIC ASCITES, ACUTE PANCREATITIS AND DEEP VENOUS THROMBOSIS: A CASE REPORT

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Keywords

EOSINOPHILIC GASTROENTERITIS

ACUTE PANCREATITIS

DEEP VEIN THROMBOSIS

Abstract

Background: EOSINOPHILIC GASTROENTERITIS (EGE) is a rare inflammatory disease characterized by diffuse eosinophilic infiltration of the gastrointestinal tract with symptoms varying with the location, severity and depth of invasion. Hypereosinophilic syndrome and EOSINOPHILIC GASTROENTERITIS overlap considerably in their pathophysiology especially if the latter is early in the clinical course and restricted to the intestinal mucosa alone.Case presentation: A 30 year old male with chronic diarrhea and ascites presented with abdominal pain and acute lower limb swelling. The clinical presentation, peripheral hypereosinophilia and intestinal biopsy findings were all consistent with the diagnosis of EGE with eosinophilic ascites. CT abdomen and doppler imaging of the limb revealed the unusual complication of ACUTE PANCREATITIS and DEEP VEIN THROMBOSIS respectively, occurring simultaneously with EGE, making it a very rare presentation. After managing ACUTE PANCREATITIS and DEEP VEIN THROMBOSIS, the patient was treated with prednisolone 20 mg/day for four weeks and tapered slowly. His diarrhea settled and ascites resolved completely.Conclusion: This case report emphasizes that one should consider these rare disorders during the differential diagnosis of unexplained gastrointestinal symptoms in the presence of hypereosinophilia, encompassing the ‘forme frustes’ of hypereosinophilic syndrome.

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APA: Copy

BHAT, KHALID JAVID, BHAT, SANJAY, DUTT, KALYAN, GUPTA, SAKUL, & JEELANI SAMOON, HAMAAD. (2014). CHRONIC DIARRHEA, EOSINOPHILIC ASCITES, ACUTE PANCREATITIS AND DEEP VENOUS THROMBOSIS: A CASE REPORT. CASPIAN JOURNAL OF INTERNAL MEDICINE, 5(3), 182-185. SID. https://sid.ir/paper/323362/en

Vancouver: Copy

BHAT KHALID JAVID, BHAT SANJAY, DUTT KALYAN, GUPTA SAKUL, JEELANI SAMOON HAMAAD. CHRONIC DIARRHEA, EOSINOPHILIC ASCITES, ACUTE PANCREATITIS AND DEEP VENOUS THROMBOSIS: A CASE REPORT. CASPIAN JOURNAL OF INTERNAL MEDICINE[Internet]. 2014;5(3):182-185. Available from: https://sid.ir/paper/323362/en

IEEE: Copy

KHALID JAVID BHAT, SANJAY BHAT, KALYAN DUTT, SAKUL GUPTA, and HAMAAD JEELANI SAMOON, “CHRONIC DIARRHEA, EOSINOPHILIC ASCITES, ACUTE PANCREATITIS AND DEEP VENOUS THROMBOSIS: A CASE REPORT,” CASPIAN JOURNAL OF INTERNAL MEDICINE, vol. 5, no. 3, pp. 182–185, 2014, [Online]. Available: https://sid.ir/paper/323362/en

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