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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 Full Text available with Trip Pro

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

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  Search Select language Assessment of ascites Last reviewed: December 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 (...) ., signs 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

2019 BMJ Best Practice

4. 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

5. An Unusual Cause of Abdominal Ascites Full Text available with Trip Pro

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

2018 Case reports in gastroenterology

6. Malignant Peritoneal Mesothelioma: A Rare Cause of Ascites Full Text available with Trip Pro

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.

2018 Journal of investigative medicine high impact case reports

7. Ascitic Fluid Total Protein, a useful marker in non-portal hypertensive ascites. (Abstract)

Ascitic Fluid Total Protein, a useful marker in non-portal hypertensive ascites. Diagnostic performance of ascitic fluid total protein (AFTP) concentration remained unsettled. Our aim was to determine diagnostic value of AFTP in differential diagnosis of causes of ascites.Seven hundred four consecutive patients with new-onset ascites were prospectively enrolled in this study.In the training cohort, diagnostic performance of quantitative AFTP assay was superior to that of Rivalta test (...) in differential diagnosis of ascites. At the predetermined cut-off value of 25 g/L, quantitative AFTP assay was more useful in the differentiation of non-portal hypertensive ascites from portal hypertensive ascites compared with the exudate-transudate classification, area under curve of receiver operating characteristic curve was 0.958. Quantitative AFTP assay was superior to serum-ascites albumin gradient in the detection of non-portal hypertensive ascites, especially malignant ascites and tuberculous

2019 Journal of gastroenterology and hepatology

8. Caffeine causes pulmonary hypertension syndrome (ascites) in broilers. (Abstract)

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 Controlled trial quality: uncertain

9. Immunoglobulin A Lambda Multiple Myeloma in a Patient with HIV: An Unusual Cause of Massive Ascites Full Text available with Trip Pro

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.

2017 Case reports in gastroenterology

10. Perforated Bladder as a Cause of Abdominal Ascites in a Patient Presenting with Acute Onset Abdominal Pain Full Text available with Trip Pro

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

2017 Cureus

11. Pulmonary Hypoplasia Caused by Fetal Ascites in Congenital Cytomegalovirus Infection Despite Fetal Therapy Full Text available with Trip Pro

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.

2017 Frontiers in pediatrics

12. A rare cause of pericardial effusion and ascites: POEMS syndrome Full Text available with Trip Pro

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

2017 Hematology reports

13. Sclerosing Mesenteritis Causing Chylous Ascites and Small Bowel Perforation Full Text available with Trip Pro

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

2017 The American journal of case reports

14. Retroperitoneal Fibrosis as a Cause of Chylous Ascites Full Text available with Trip Pro

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.

2017 ACG case reports journal

15. Chylous Ascites and Chylothorax Caused by Constrictive Pericarditis Full Text available with Trip Pro

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

2017 Chinese medical journal

16. 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

17. Comparing the Effects of Hydroxyethyl Starch and Albumin in Cirrhotic Patients with Tense Ascites; a Randomized Clinical Trial. (Abstract)

Comparing the Effects of Hydroxyethyl Starch and Albumin in Cirrhotic Patients with Tense Ascites; a Randomized Clinical Trial. Large-volume paracentesis is one of the usual treatments for cirrhotic patients with tense ascites, which may cause different complications including decreased cardiac preload, suppressed renin angiotensin system, inactivation of sympathetic nervous system, electrolyte imbalances, etc.The aim of this study was to compare the effects of administrating hydroxyethyl (...) starch (HES) and albumin in cirrhotic patients with tense ascites in order to reduce the paracentesis complications.In the present randomized clinical trial, 108 cirrhotic patients with tense ascites were enrolled. The patients were randomly divided into 3 groups. In group A, albumin 20% with 5 g/L dose of paracentesis fluid, in group B, HES 6% dissolved in saline were administered, and in group C, a combination of albumin 20% and HES 6% with half the dosage administrated to two other groups were

2017 Advanced journal of emergency medicine Controlled trial quality: uncertain

18. Ascitic Fluid/Serum Bilirubin Ratio as an aid in Preoperative Diagnosis of Choleperitoneum in a Neglected Case of Spontaneous Common Bile Duct Perforation Full Text available with Trip Pro

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

2017 Euroasian journal of hepato-gastroenterology

19. Routine analysis of ascitic fluid for evidence of infection in children with chronic liver disease: Is it mandatory? Full Text available with Trip Pro

Routine analysis of ascitic fluid for evidence of infection in children with chronic liver disease: Is it mandatory? Ascitic fluid infection is a major cause of morbidity and mortality in cirrhotic patients, requiring early diagnosis and therapy. We aimed to determine predictors of ascitic fluid infection in children with chronic liver disease. The study included 45 children with chronic liver disease and ascites who underwent 66 paracentesis procedures. Full history taking and clinical (...) examination of all patients were obtained including fever, abdominal pain and tenderness and respiratory distress. Investigations included: complete blood count, C-reactive protein, full liver function tests, ascitic fluid biochemical analysis, cell count and culture. Our results showed that patients' ages ranged between 3 months to 12 years. Prevalence of ascitic fluid infection was 33.3%. Gram-positive bacteria were identified in six cases, and Gram-negative bacteria in five. Fever and abdominal pain

2018 PLoS ONE

20. 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

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