Hépatologie et science pancréatique

Chronic Hepatic deficiency due to the ingestion of alcohol remains as one of the main causes of morbidity and mortality in our country. From it a variety of complications arise, one of them is the Hepatopulmonary Syndrome, which usually goes unnoticed and undiagnosed; this syndrome is distinguished by the presence of hypoxemia and pulmonary vasodilation. The gold standard to establish a diagnostic is contrasted Echocardiogram. No pathognomonic sign is known for this syndrome, which leads the present elaboration to evaluate the use of orthodeoxia by pulse oximetry as a screening test in the detection of Hepatopulmonary Syndrome cases.

Eosinophilic ascites (EA) is an exceedingly rare disorder of unknown etiology characterized by elevated number of eosinophils in ascitic fluid. EA is the rarest subtype of eosinophilic gastroenteritis and is characterized by infiltration of eosinophils in serosal layer of gastrointestinal tract. EA usually occurs in female patients, is mostly associated with atopic disorders, and is easily treatable with corticosteroids. Association with pregnancy is rare and why it occurs in pregnant females is unknown. We report a case of EA which to our knowledge is the first case of idiopathic EA in a pregnant patient and was easily treatable with corticosteroids without adverse effect on fetus.