Cirrhosis-related ascites with right heart failure and pulmonary tuberculosis

Agus Dody Pranata Suadi Putra; Dewa Ayu Rina Wiana Dewi; I. Made Suma Wirawan

doi:10.18203/2349-3933.ijam20222102

Authors

Agus Dody Pranata Suadi Putra Department of Internal Medicine, Wangaya Regional Hospital, Denpasar, Bali, Indonesia
Dewa Ayu Rina Wiana Dewi Department of Internal Medicine, Wangaya Regional Hospital, Denpasar, Bali, Indonesia
I. Made Suma Wirawan Department of Internal Medicine, Wangaya Regional Hospital, Denpasar, Bali, Indonesia

DOI:

https://doi.org/10.18203/2349-3933.ijam20222102

Keywords:

Ascites, Cirrhosis, Serum ascites-albumin gradient

Abstract

Ascites is defined as an excess of fluid within the peritoneal cavity. Causes of ascites may be classified into two pathophysiologic categories: associated with the normal peritoneum and occur due to a diseased peritoneum. Ascites is clinically apparent when the patient presents either symptomatically with abdominal distension, thus leading to further testing, or asymptomatically when radiological imaging shows unexpected peritoneal fluid accumulation. The serum ascites-albumin gradient (SAAG) and total protein levels from ascitic fluid are useful to distinguish the etiology of ascites. We report a case of a 30-years-old man with shortness of breath, the stomach has been getting bigger, nausea, and cough which was subsequently diagnosed with cirrhosis-related ascites accompanied with right heart failure and pulmonary tuberculosis.

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References

Schiro AJ. Ascites. In: Saeian K, Shaker R, editors. Liver Disorders: A Point of Care Clinical Guide. 1st edition. Switzerland. CH: Springer. 2017;507-18.

Rao HK, Gupta RS. Ascites-From Basics to Bedside. In: Bansode BR, editors. Medicine Update. 2017. Volume 2. The Association of Physician India. 2017;329-33.

Rochling FA, Zetterman RK. Management of Ascites. Drugs. 2009;69(13):1739-60.

Henriksen JH, Moller S. Ascites. In: Granger DN, Granger JP, editors. Colloquium Series on Integrated Systems Physiology: From Molecule to Function to Disease. US: Morgan & Claypool Life Sciences. 2013;39:1-69.

Patel YA, Muir AJ. Evaluation of New Onset Ascites. J Am Med Assoc. 2016;316(3):340-1.

Chiejina M, Kudaravalli P, Samant H. Ascites. In: StatPearls. Treasure Island (FL). StatPearls Publishing. 2022.

Rudler M, Mallet M, Phillipe S, Bouzbib C, Thabut D. Optimal management of ascites. Liver International. 2020;40(1):128-35.

Trrongtorsak A, Kittipibul V, Antala D, Meng Q, Puwanant S. Heart Failure-Related Ascites with Low Serum-Ascites Albumin Gradient: Diagnostic Clues from Triphasic Abdominal Computed Tomography. Cureus. 2022;14(1):1-3.

Rasheed S, Zinicola R, Watson D, Bajwa A, McDonald PJ. Intra-abdominal and gastrointestinal tuberculosis. J Colorectal Dis. 2007;9(9):773-83.