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Ascites Causes

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1. Subcutaneous automated low-flow pump implantation for refractory ascites caused by cirrhosis

Subcutaneous automated low-flow pump implantation for refractory ascites caused by cirrhosis Subcutaneous automated low-flow pump Subcutaneous automated low-flow pump implantation for refr implantation for refractory ascites caused b actory ascites caused by y cirrhosis cirrhosis Interventional procedures guidance Published: 14 November 2018 nice.org.uk/guidance/ipg631 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration (...) ascites. 1.5 Further research should report details of patient selection, the frequency of pump-related complications, and the need for regular albumin infusions. 2 2 The condition, current treatments and procedure The condition, current treatments and procedure The condition 2.1 Ascites is a common complication of cirrhosis of the liver. Build-up of fluid causes the abdomen to swell and may lead to discomfort, difficulty breathing, Subcutaneous automated low-flow pump implantation for refractory

2018 National Institute for Health and Clinical Excellence - Interventional Procedures

2. Cardiac arrest caused by rapidly increasing ascites in a patient with TAFRO syndrome: a case report (PubMed)

Cardiac arrest caused by rapidly increasing ascites in a patient with TAFRO syndrome: a case report Thrombocytopenia, anasarca, fever, renal insufficiency, and organomegaly (TAFRO) syndrome is a newly defined systemic inflammatory disorder with gradual progression of symptoms. A 59-year-old man with fever and ascites of unknown cause developed sudden-onset shock and respiratory failure in the general ward. Cardiac arrest immediately followed. Although he was resuscitated, frequent (...) administration of adrenaline was required to maintain his blood pressure. His circulation was most effectively stabilized by drainage of fluid from his distended abdomen. The volume of discharged ascites reached 4,000 mL at that time, and several liters continued to be discharged for >1 month. The diagnosis of TAFRO syndrome was based on the clinical features and laboratory and histological findings.The ascites volume and concentrations of inflammatory parameters decreased with treatment using several

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2017 Acute medicine & surgery

3. Assessment of ascites

Assessment of ascites Assessment of ascites - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of ascites Last reviewed: February 2019 Last updated: March 2019 Summary Ascites is a pathological collection of fluid in the peritoneal cavity. The most common cause is cirrhosis, accounting for approximately 75% to 80% of cases. Moore KP, Aithal GP. Guidelines on the management of ascites in cirrhosis. Gut. 2006 (...) of chronic liver disease or cardiac failure). Causes include diseases that lead to portal hypertension, hypo-albuminemia, and neoplasms. Cirrhosis In cirrhosis, ascites forms due to renal dysfunction and abnormalities in portal and splanchnic circulation. Sodium retention is a major factor in pathogenesis. Krige JEJ, Beckingham IJ. Clinical review: ABC of disease of liver, pancreas and biliary system. Portal hypertension-2. Ascites, encephalopathy and other conditions. BMJ. 2001 Feb 17;322(7283):416-8

2018 BMJ Best Practice

4. An Unusual Cause of Abdominal Ascites (PubMed)

An Unusual Cause of Abdominal Ascites Abdominal ascites is most commonly caused by portal hypertension from liver cirrhosis. When present, portal hypertension is associated with an elevated serum-ascites albumin gradient (SAAG) ≥1.1 g/dL. In contrast, a SAAG < 1.1 g/dL suggests malignancy, tuberculosis, pancreatitis, or nephrotic syndrome. Here, we present a case of low SAAG ascites caused by epithelioid peritoneal mesothelioma in a woman with no known liver disease. The diagnosis proved

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2018 Case reports in gastroenterology

5. Malignant Peritoneal Mesothelioma: A Rare Cause of Ascites (PubMed)

Malignant Peritoneal Mesothelioma: A Rare Cause of Ascites Malignant peritoneal mesothelioma (MPM) is a rare diagnosis that presents with difficulties in diagnosis and management. This article reports a case of an 88-year-old male who presented with a 2-week history of abdominal distention and bloating. He worked at an insulation production factory between the ages of 23 and 25 years with presumed asbestos exposure. On the computed tomography scan of the abdomen/pelvis, the patient was found (...) to have diffuse omental, peritoneal, and mesenteric nodularity with moderate to large ascites. Omental biopsy revealed MPM. The overall prognosis of MPM remains poor, with a median survival time of 12 months at the time of diagnosis. Treatment modalities offered in the United States include chemotherapy alone, cytoreductive surgery alone, or cytoreductive surgery/chemotherapy combination.

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2018 Journal of investigative medicine high impact case reports

6. Caffeine causes pulmonary hypertension syndrome (ascites) in broilers. (PubMed)

Caffeine causes pulmonary hypertension syndrome (ascites) in broilers. Pulmonary hypertension syndrome (PHS), or ascites, is characterized by elevated pulmonary arterial pressure and pulmonary vascular resistance accompanied by right ventricular hypertrophy (RVH) and fluid accumulation in the abdominal cavity. Experimental models are required for triggering PHS to study the pathogenesis of this syndrome and to select resistant genetic lines. Caffeine increases vascular resistance and promotes

2017 Journal of animal science

7. A rare cause of pericardial effusion and ascites: POEMS syndrome (PubMed)

A rare cause of pericardial effusion and ascites: POEMS syndrome 29333225 2018 11 13 2038-8322 9 4 2017 Dec 22 Hematology reports Hematol Rep A rare cause of pericardial effusion and ascites: POEMS syndrome. 7384 10.4081/hr.2017.7384 Katipoglu Bilal B Department of Internal Medicine, Ankara Numune Training and Research Hospital, Ankara. Katipoğlu Zeynep Z Department of Internal Medicine, Ankara Numune Training and Research Hospital, Ankara. Ates Ihsan I Department of Internal Medicine, Ankara

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2017 Hematology reports

8. Retroperitoneal Fibrosis as a Cause of Chylous Ascites (PubMed)

Retroperitoneal Fibrosis as a Cause of Chylous Ascites Retroperitoneal fibrosis is a rare condition characterized by chronic inflammation and marked fibrosis of the retroperitoneal tissue, often leading to entrapment of abdominal organs. We report a 69-year-old white man who presented with a 5-week history of gradual onset of progressive abdominal distension. He had no history or risk factors for an underlying liver condition. Ascites and a retroperitoneal mass encasing the major abdominal (...) vessels were revealed on imaging. Biopsies of the mass confirmed the presence of retroperitoneal fibrosis, and the ascitic fluid was milky, consistent with chylous ascites. We discuss this rare presentation and the challenges of treatment for chylous ascites caused by RPF, including the role for supportive treatment.

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2017 ACG case reports journal

9. Pulmonary Hypoplasia Caused by Fetal Ascites in Congenital Cytomegalovirus Infection Despite Fetal Therapy (PubMed)

Pulmonary Hypoplasia Caused by Fetal Ascites in Congenital Cytomegalovirus Infection Despite Fetal Therapy We report two cases of pulmonary hypoplasia due to fetal ascites in symptomatic congenital cytomegalovirus (CMV) infections despite fetal therapy. The patients died soon after birth. The pathogenesis of pulmonary hypoplasia in our cases might be thoracic compression due to massive fetal ascites as a result of liver insufficiency. Despite aggressive fetal treatment, including multiple (...) immunoglobulin administration, which was supposed to diminish the pathogenic effects of CMV either by neutralization or immunomodulatory effects, the fetal ascites was uncontrollable. To prevent development of pulmonary hypoplasia in symptomatic congenital CMV infections, further fetal intervention to reduce ascites should be considered.

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2017 Frontiers in pediatrics

10. Immunoglobulin A Lambda Multiple Myeloma in a Patient with HIV: An Unusual Cause of Massive Ascites (PubMed)

Immunoglobulin A Lambda Multiple Myeloma in a Patient with HIV: An Unusual Cause of Massive Ascites Multiple myeloma (MM) is a neoplastic proliferation of plasma cells with overproduction of monoclonal immunoglobulins and infiltration into the bone and other organs. Ascites can develop in patients with lymphoproliferative and solid malignancies involving the peritoneum. However, ascites is unusual in MM and rarely the initial presenting sign or symptom. The development of ascites can be due (...) to peritoneal infiltration or secondary to hepatic involvement, heart failure, or kidney failure. Ascites in MM reflects a more aggressive stage, and the reported prognosis is poor, with a median survival of 1-2 months. Here we present a rare case of immunoglobulin A lambda MM presenting with massive myelomatous ascites.

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2017 Case reports in gastroenterology

11. Perforated Bladder as a Cause of Abdominal Ascites in a Patient Presenting with Acute Onset Abdominal Pain (PubMed)

Perforated Bladder as a Cause of Abdominal Ascites in a Patient Presenting with Acute Onset Abdominal Pain Bladder perforation, especially when atraumatic, is a rare cause of ascites and is often difficult to differentiate from other causes of abdominal pain and ascites in the acute setting.  A 43-year-old Caucasian woman with a history of multiple sclerosis presented with acute abdominal pain. A computed tomography (CT) scan of her abdomen and pelvis without contrast revealed ascites, acute (...) kidney injury (AKI) was noted on laboratory workup, and very little urine was drained by Foley catheter. Over the next several days, the patient's clinical condition deteriorated with no definitive diagnosis. A repeat CT of her abdomen and pelvis without contrast showed worsening ascites. She underwent paracentesis, which revealed a markedly elevated ascitic fluid creatinine consistent with bladder rupture. She then underwent an urgent cystogram to confirm the diagnosis, and the urologic consultant

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2017 Cureus

12. Chylous Ascites and Chylothorax Caused by Constrictive Pericarditis (PubMed)

Chylous Ascites and Chylothorax Caused by Constrictive Pericarditis 29052575 2018 10 09 2018 11 13 2542-5641 130 20 2017 Oct 20 Chinese medical journal Chin. Med. J. Chylous Ascites and Chylothorax Caused by Constrictive Pericarditis. 2508-2509 10.4103/0366-6999.216402 Yu Guo-Can GC Department of Thoracic Surgery, Zhejiang Traditional Chinese Medicine and Western Medicine Integrated Hospital, Hangzhou, Zhejiang 310003, China. Xu Xu-Dong XD Department of Thoracic Surgery, Zhejiang Traditional (...) and Western Medicine Integrated Hospital, Hangzhou, Zhejiang 310003, China. eng Journal Article China Chin Med J (Engl) 7513795 0366-6999 IM Adult Chylothorax etiology surgery Chylous Ascites etiology surgery Humans Male Pericardiectomy Pericarditis, Constrictive complications surgery Young Adult 2017 10 21 6 0 2017 10 21 6 0 2018 10 10 6 0 ppublish 29052575 ChinMedJ_2017_130_20_2508_216402 10.4103/0366-6999.216402 PMC5684640 Am J Med Sci. 2010 Apr;339(4):314-8 20124878 J Med Case Rep. 2012 Jun 27;6:163

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2017 Chinese medical journal

13. Sclerosing Mesenteritis Causing Chylous Ascites and Small Bowel Perforation (PubMed)

Sclerosing Mesenteritis Causing Chylous Ascites and Small Bowel Perforation BACKGROUND Sclerosing mesenteritis (SM) is a rare idiopathic inflammation and fibrosis of the mesentery. Its etiology and pathogenesis remain unclear. It has been linked to abdominal trauma related to peritoneal dialysis, recent abdominal surgery, idiopathic inflammatory disorder, paraneoplastic syndrome, ischemia/infection, and autoimmunity. Abdominal CT is the most sensitive imaging modality, and diagnosis is usually (...) confirmed by surgical biopsy. Patients most often present with abdominal pain, nausea, vomiting, diarrhea, and weight loss, and less commonly with chylous ascites and small bowel obstruction. Treatment is usually supportive; surgical intervention may be attempted for life-threatening complications such as bowel obstruction or perforation. CASE REPORT This report describes an 80-year-old man with hypertension and end-stage renal disease (ESRD) presenting with increasing abdominal pain and tenderness over

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2017 The American journal of case reports

14. A corny cause of cerebrospinal fluid ascites: A case report and review of literature (PubMed)

A corny cause of cerebrospinal fluid ascites: A case report and review of literature To report a rare cause of cerebrospinal fluid ascites.A 37-year-old female with history of intracranial hypertension and a ventriculo-peritoneal shunt was referred to liver clinic for evaluation of newly developed ascites.Initially, the cause of ascites was thought to be secondary to a liver etiology. However, this was excluded after a comprehensive evaluation including portal pressure measurements. We (...) determined the ascites to be infected cerebrospinal fluid secondary to a rare commensal organism, Corynebacterium non-Jeikeium, which resolved after removing ventriculo-peritoneal shunt, appropriate antibiotics and conversion to a ventriculo-atrial shunt.Cerebrospinal fluid ascites is a rare complication of VP shunts and since 1976 only 8 cases of Corynebacterium non jk VP shunt infections have been reported in the literature but none associated with ascites. Also this report highlights the beneficial

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2016 SAGE Open Medical Case Reports

15. A Case of Congenital Malignant Spinal Cord Glioma as a Cause of Congenital Ascites in a Neonate (PubMed)

A Case of Congenital Malignant Spinal Cord Glioma as a Cause of Congenital Ascites in a Neonate Congenital ascites is rare, but when it occurs, urinary ascites secondary to posterior urethral valve obstruction is the most common, and tumors are the least. Among the tumors in the pediatric population, the central nervous system tumors are common, but spinal cord tumors are rare. We describe a very rare case of congenital malignant spinal cord glioma presenting as isolated congenital ascites (...) secondary to neurogenic bladder. A female infant was diagnosed sonographically with isolated congenital ascites at 40 weeks' gestational age, with uneventful development prior to 40 weeks' gestational age. Magnetic resonance imaging of the spine done within the first week of life identified a lobulated spinal mass with heterogeneous enhancement within the conus medullaris. Spinal fluid analysis showed evidence of small round blue cells and the pathology from the excision biopsy of the mass confirmed

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2016 Case reports in pediatrics

16. An uncommon cause of ascites: uroperitoneum from iatrogenic bladder fistula detected by CT urography (PubMed)

An uncommon cause of ascites: uroperitoneum from iatrogenic bladder fistula detected by CT urography We report the case of a female who underwent laparoscopic hysterectomy and was referred to the emergency department with massive ascites 10 days later. Anamnestic background and clinical presentation suggested the occurrence of a urinary lesion, which was investigated by CT urography. CT urography with ultra-late excretory phase showed the leakage of iodinated contrast agent from the bladder

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2016 BJR | case reports

17. Ascites Causes

Ascites Causes Ascites Causes Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ascites Causes Ascites Causes Aka: Ascites Causes II (...) . Most common Ascites Causes (90% of cases) ( ) Cancer (Malignant ) III. Causes by location Peritoneal source l, fungal or Cancer (Malignant ) Whipple's Disease Familial Mediterranean fever Starch peritonitis Extra-peritoneal source ( ) Budd-Chiari Syndrome Hypoalbuminemia Protein-losing Ovarian disease (e.g. Meigs' Syndrome) Pancreatic disease Chylous Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Ascites Causes." Click

2018 FP Notebook

18. Ascitic Fluid/Serum Bilirubin Ratio as an aid in Preoperative Diagnosis of Choleperitoneum in a Neglected Case of Spontaneous Common Bile Duct Perforation (PubMed)

Ascitic Fluid/Serum Bilirubin Ratio as an aid in Preoperative Diagnosis of Choleperitoneum in a Neglected Case of Spontaneous Common Bile Duct Perforation Spontaneous perforation of extrahepatic biliary system is a rare and potentially fatal cause of acute abdomen. Clinical presentation is as biliary peritonitis. This condition is rarely suspected as a cause of peritonitis preoperatively and correct diagnosis is made during surgery. If suspected, diagnosis can be made by various imaging (...) techniques like hepatobiliary scintigraphy, magnetic resonance cholangiopancreatography (MRCP), and endoscopic retrograde cholangiopancreatography (ERCP). As these imaging techniques are not readily available, especially in low socioeconomic countries, we hereby report a case of spontaneous common bile duct (CBD) perforation, which was diagnosed preoperatively by estimation of ascitic fluid-to-serum bilirubin ratio, a simple, quick, and cost-effective test. How to cite this article: Huda F, Naithani M

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2017 Euroasian journal of hepato-gastroenterology

19. Management of Ascites in Ovarian Cancer Patients

physiological process causing malignant ascites is often multifactorial and may be due to obstruction of lymphatic drainage preventing absorption of intra-abdominal fluid and protein, disease producing a high volume of fluid with a high protein content, hypoproteinaemia and occasionally portal hypertension secondary to hepatic cancer. Ascites can be split into two main groups: exudates which are high in protein, and transudates which are low in protein. 3,5 Exudates are more common and derive from (...) a combination of increased permeability of capillaries and lymphatic obstruction, whereas transudates are likely to arise where liver metastases cause portal hypertension. Nonmalignant ascites is more likely to produce a transudative ascites where there is a marked increase in production of fluid and the lymphatic system reaches capacity with flow rates of 200 ml of ascites per hour. 4 Ascites resulting from compression of the hepatic vein causing portal hypertension will also produce a transudative ascites

2014 Royal College of Obstetricians and Gynaecologists

20. Assessing the Safety of Beta Blocker Therapy in Cirrhosis Patients with Ascites: A Meta-Analysis. (PubMed)

Assessing the Safety of Beta Blocker Therapy in Cirrhosis Patients with Ascites: A Meta-Analysis. Beta blocker therapy is effective at reducing risks of variceal bleeding. However, beta blockers may detrimentally exacerbate the underlying hemodynamic changes in cirrhosis. A systematic review and meta-analysis was performed to evaluate impact of beta blockers on all-cause mortality among cirrhosis patients with ascites.A literature search identified studies that evaluated beta blocker vs (...) . no beta blocker therapy in cirrhosis patients with ascites. The primary outcome was all-cause mortality with sub-cohort analysis of patients with refractory or severe ascites. Quality of observational studies was assessed with New Castle-Ottawa Scale and overall certainty of the evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE) system.Eight observational studies, representing 3,627 cirrhosis patients with ascites (1,630 treated with beta blockers

2019 Liver International

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