Thursday, October 20, 2016

Causes Of Ascites



Ascites is the accumulation of excess fluid in the peritoneal cavity.
A list of causes is given below:

1.  Hepatic Causes:

  • Cirrhosis
  • Hepatic tumors.
2. Malignant disease:
  • Carcinomatosis
  • Abdominal tumor
  • Pelvic tumor
  • Psudomyxoma peritonei
  • Primary mesothelioma
3. Cardiac Causes:
  • Cardiac failure
  • Constrictive pericarditis.
  • Tricuspid incompetence
4. Renal Causes:
  • Nephrotic symdrome
5. Peritonitis:
  • Tuberculosis
  • Spontaneous bacterial
6. Venous obstruction:
  • Budd-Chiari syndrome
  • Veno-occlusive disease
  • Hepatic portal vein obstruction
  • Inferior vena cava obstruction
7. Gastrointestinal Causes:
  • Malabsorption
  • Pancreatitis
  • Bile ascites.
Patients with ascites often presnt with abdominal discomreasing abdominal girth, weight gain and ankle edema. The onset may be sudden or gradual depending on the underlying cause. 
The classic finding of ascites on examination are shifting dullness and presence of a fluid thrill. 

1 comment:

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