A case of inflammatory ascites

A case of inflammatory ascites

Authors

  • Marco Biolato Istituto di Medicina Interna e Geriatria, Università Cattolica del Sacro Cuore, Policlinico Universitario A. Gemelli, Roma
  • Maria Letizia Gabrieli Istituto di Medicina Interna e Geriatria, Università Cattolica del Sacro Cuore, Policlinico Universitario A. Gemelli, Roma
  • Antonella Gallo Istituto di Medicina Interna e Geriatria, Università Cattolica del Sacro Cuore, Policlinico Universitario A. Gemelli, Roma
  • Luca Miele Istituto di Medicina Interna e Geriatria, Università Cattolica del Sacro Cuore, Policlinico Universitario A. Gemelli, Roma
  • Laura Riccardi Istituto di Medicina Interna e Geriatria, Università Cattolica del Sacro Cuore, Policlinico Universitario A. Gemelli, Roma
  • Massimo Montalto Istituto di Medicina Interna e Geriatria, Università Cattolica del Sacro Cuore, Policlinico Universitario A. Gemelli, Roma
  • Giovanni Gasbarrini Istituto di Medicina Interna e Geriatria, Università Cattolica del Sacro Cuore, Policlinico Universitario A. Gemelli, Roma
  • Antonio Grieco Istituto di Medicina Interna e Geriatria, Università Cattolica del Sacro Cuore, Policlinico Universitario A. Gemelli, Roma

DOI:

https://doi.org/10.7175/cmi.v2i1.582

Keywords:

Ascites, Serum-ascites albumin gradient, CA-125, Peritoneal tuberculosis, Cardiac ascites

Abstract

Even ascites appears mainly as sign of portal hypertension in patiens with liver cirrhosis, in some case depends on a different lying condition such as right congestive heart failure, peritoneal carcinomatosis or tuberculosis. In these cases, paracentesis represents the key tool for diagnosis. We report a case of cardiac ascites in a 71-years-old woman who developed in four-month an abdominal distension. Preliminary exams showed exudative ascites related to portal hypertension, a pelvic mass with caseous apparence, and inflammatory status ad an elevation of CA-125. Successive evaluation exluded peritoneal carcinomatosis or tuberculosis, underlyng a tricuspidal regurgitation. The literature on ascites has also been reviewed.

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Published

2008-03-15

Issue

Vol. 2 No. 1 (2008)

Section

Case report

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