2021, Number 5
<< Back Next >>
Revista Habanera de Ciencias Médicas 2021; 20 (5)
Uncommon causes of ascites: Report of 5 cases
Odriozola GA, Treviño GJ
Language: Spanish
References: 16
Page: 1-7
PDF size: 480.44 Kb.
ABSTRACT
Introduction:
Ascites is defined as the presence of fluid in the peritoneal cavity. The most common etiology is liver diseases with portal hypertension; among them liver cirrhosis is reported in 40 % of cases with 5-year follow-up. Previous studies demonstrate that ascites due to cirrhotic liver disease occurs in 80-85 % of the cases, that carcinomatosis is also present in 10 %, and also that among the rarest causes, heart failure and peritoneal tuberculosis are present in 3 % of cases along with portal vein thrombosis, sarcoidosis, intraperitoneal tumors, pancreatic ascites and eosinophilic enteritis.
Objective:
To describe uncommon clinical presentations as cause of ascites in patients admitted to “Hermanos Ameijeiras” Clinical Surgical Hospital.
Case presentation:
Five cases of patients admitted to “Hermanos Ameijeiras” Clinical Surgical Hospital with the diagnosis of ascites: chylous, hemorrhagic, eosinophilic and colloid as well as the pathologies that led them to this clinical manifestation and a brief description of it are presented.
Conclusion:
The analysis of the clinical presentation of the cases, the findings in the imaging studies and laboratory tests and the anatomopathological results allowed the diagnosis of the entities causing atypical ascites in these patients.
REFERENCES
Garcia Tsao G. Ascitis. Fisiopatología y tratamiento. Acta Med Colomb. 1992;17(3):198-200.
Vargas R. Ascitis. Act Med Per. 2007;24(1):34-9.
Lizaola B, Bonder A, Trivedi HD. The diagnostic approach and current management of chylous ascites. Aliment Pharmacol Ther.2007;46:816-24.
Bhardwaj R, Vaziri H, Gauntam A, Ballesteros E, Karimeddini D, Wu G. Chylous Ascites: A review of Pathogenesis, Diagnosis and Treatment. J ClinTransl Hepatol. 2018;6:105-13.
Uribe J, Sepúlveda R, Cruz R, Illanes P, Trucco C, Le Roy C, et al. Ascitis quilosa post cirugía abdominal: caso clínico y revisión de la literatura. Gastroenterol Latinoame.2018;29:193-9.
Cardenas A, Chopra S. Chylous ascites. Am JGastroenterol.2002;97:1896-900.
Sunkara T, Rawla P, Yarlagadda K, Gadaputi V. Eosinophilic gastroenteritis: diagnosis and clinical perspectives. Clin Exp Gastroenterol.2019;12:239-53.
Jensen E, Martin C, Kappelman M, Dellon E. Prevalence of Eosinophilic gastritis, gastroenteritis, and colitis: Estimates from a national administrative database. J Pediatr Gastroenterol Nutr.2016;62:36-42.
Talley NJ, Shorter RG, Phillips SF, Zinsmeister AR. Eosinophilic gastroenteritis: A clinicopathological study of patients with disease of the mucosa, muscle layer, and subserosal tissues. Gut.1990;31:4-8.
Zhang M, Li Y, Eosinophilic gastroenteritis: A state-of-the-art review. J Gastroenterol Hepatol. 2017; 32(1):64-72.
Velásquez J, Moncayo A, Andrade A, Álvarez A, Morán J, Morán J. Ascitis hemorrágica en tuberculosis peritoneal: reporte de caso. Rev Fac Cien Soc Univ Cau.2021;21:49-55.
Juan L, Rodríguez M, Puente M, Fernández C, Laguna M, Hernández J. Ascitis y neumotórax secundarios a endometriosis. Ginecol Obstet Méx.2020;88: 890-6.
Lin J, Lin H, Huang C, Lai C, Chung H, Liang S, et al. Endometriosis presenting as bloody ascites and shock. J Emer Med.2008;38:30-2.
Macri A, Bevan K, Mohamed F. Pseudomyxoma peritonei. World J Gastrointest Oncol.2010;2(1):44-50.
Vicuña P, Rivas M, Arredondo A. Neoplasia mucinosa apendicular, hallazgo inusual en apendicectomías de urgencia: reporte de un caso. Rev Soc Méd S Reg. 2017;5:21-4.
Rivarola S, Veltri M, Padilla I, Avagnina A, Biagioni M, De la hoz A, et al. Hipertensión portal secundaria a sarcoidosis hepática. A Gastroenterol Lat. 2020;50:43-4.