Ascites causes: Difference between revisions
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{{Ascites}} | {{Ascites}} | ||
{{CMG}} {{AE}} {{MUT}} {{CLG}} | {{CMG}}; {{AE}}{{EG}}, {{MUT}}, {{CLG}} | ||
==Overview== | ==Overview== | ||
Life-threatening causes of ascites are [[acute liver failure]], [[hepatic failure]], and [[hepatorenal syndrome]]. Common causes of ascites are [[Budd-Chiari syndrome]], [[malignancy]], and [[cirrhosis]]. Less common causes of ascites are the conditions which may lead to fetal ascites, neonatal ascites, and infantile ascites. | |||
==Causes== | ==Causes== | ||
Line 11: | Line 12: | ||
* [[Hepatic failure]] | * [[Hepatic failure]] | ||
* [[Hepatorenal syndrome]] | * [[Hepatorenal syndrome]] | ||
* Liver fibrosis | * [[Liver]] [[fibrosis]] | ||
* [[Liver cirrhosis]] | * [[Liver cirrhosis]] | ||
Line 25: | Line 26: | ||
* [[Serositis]] | * [[Serositis]] | ||
* [[Tuberculosis]] | * [[Tuberculosis]] | ||
=== Less common causes === | |||
==== Causes of fetal ascites<ref name="pmid2164662">{{cite journal |vauthors=Sun CC, Keene CL, Nagey DA |title=Hepatic fibrosis in congenital cytomegalovirus infection: with fetal ascites and pulmonary hypoplasia |journal=Pediatr Pathol |volume=10 |issue=4 |pages=641–6 |year=1990 |pmid=2164662 |doi= |url=}}</ref><ref name="pmid2997019">{{cite journal |vauthors=Stocker JT |title=Congenital cytomegalovirus infection presenting as massive ascites with secondary pulmonary hypoplasia |journal=Hum. Pathol. |volume=16 |issue=11 |pages=1173–5 |year=1985 |pmid=2997019 |doi= |url=}}</ref><ref name="pmid9732503">{{cite journal |vauthors=Patton WL, Lutz AM, Willmann JK, Callen P, Barkovich AJ, Gooding CA |title=Systemic spread of meconium peritonitis |journal=Pediatr Radiol |volume=28 |issue=9 |pages=714–6 |year=1998 |pmid=9732503 |doi=10.1007/s002470050449 |url=}}</ref><ref name="pmid7472957">{{cite journal |vauthors=Dirkes K, Crombleholme TM, Craigo SD, Latchaw LA, Jacir NN, Harris BH, D'Alton ME |title=The natural history of meconium peritonitis diagnosed in utero |journal=J. Pediatr. Surg. |volume=30 |issue=7 |pages=979–82 |year=1995 |pmid=7472957 |doi= |url=}}</ref><ref name="pmid20389051">{{cite journal |vauthors=Son M, Walsh CA, Baxi LV |title=Prenatal diagnosis of urinary ascites in a fetus with meningomyelocele |journal=Fetal. Diagn. Ther. |volume=28 |issue=1 |pages=61–4 |year=2010 |pmid=20389051 |doi=10.1159/000312405 |url=}}</ref> ==== | |||
* [[Gastrointestinal disorders]] | |||
** [[Meconium peritonitis]] | |||
** [[Intestinal malrotation]] | |||
** [[Small intestine|Small intestinal]] or [[Colon (anatomy)|colonic]] [[atresia]] | |||
** [[Intussusception]] | |||
** [[Volvulus]] | |||
** [[Cystic fibrosis|Cystic fibrosis]] | |||
** [[Biliary atresia]] | |||
** [[Portal venous system|Portal venous]] malformations | |||
* [[Infection]] | |||
** [[Parvovirus]] | |||
** [[Syphilis]] | |||
** [[Cytomegalovirus]] | |||
** [[Toxoplasmosis]] | |||
** Acute maternal [[hepatitis]] | |||
* [[Genitourinary pathology|Genitourinary disorders]] | |||
** [[Hydronephrosis]] | |||
** [[Polycystic kidney disease]] | |||
** [[Urinary obstruction]] | |||
** [[Ovarian cysts|Ovarian cyst]] | |||
** [[Persistent cloaca]] | |||
* [[Chylous ascites]] | |||
* [[Cardiac disease|Cardiac disorders]] | |||
** [[Arrhythmia]] | |||
** [[Heart failure]] | |||
* [[Chromosomal abnormalities]] | |||
** [[Trisomy]] | |||
** [[Turner syndrome]] | |||
* [[Neoplasm]] | |||
* [[Hematologic]] | |||
** [[Hemolytic anemia]] | |||
** [[Neonatal hemochromatosis]] | |||
* [[Metabolic disease]] | |||
** [[Niemann-Pick Disease, Type C|Niemann-Pick type C]] | |||
** [[Congenital disorders of glycosylation]] | |||
** [[Wolman disease]] | |||
** [[Lysosomal storage diseases|Lysosomal storage disease]] | |||
* Other | |||
** [[Maternal]]/fetal [[abuse]] | |||
** [[Idiopathic]] | |||
==== Causes of neonatal ascites<ref name="SpriggsBrantley1977">{{cite journal|last1=Spriggs|first1=DW|last2=Brantley|first2=RE|title=Thoracic and abdominal extravasation: a complication of hyperalimentation in infants|journal=American Journal of Roentgenology|volume=128|issue=3|year=1977|pages=419–422|issn=0361-803X|doi=10.2214/ajr.128.3.419}}</ref><ref name="pmid6701064">{{cite journal |vauthors=Hepworth RC, Milstein JM |title=The transected urachus: an unusual cause of neonatal ascites |journal=Pediatrics |volume=73 |issue=3 |pages=397–400 |year=1984 |pmid=6701064 |doi= |url=}}</ref><ref name="pmid18172830">{{cite journal |vauthors=Keller M, Scholl-Buergi S, Sergi C, Theurl I, Weiss G, Unsinn KM, Trawöger R |title=An unusual case of intrauterine symptomatic neonatal liver failure |journal=Klin Padiatr |volume=220 |issue=1 |pages=32–6 |year=2008 |pmid=18172830 |doi=10.1055/s-2007-970591 |url=}}</ref><ref name="pmid6420531">{{cite journal |vauthors=Gillan JE, Lowden JA, Gaskin K, Cutz E |title=Congenital ascites as a presenting sign of lysosomal storage disease |journal=J. Pediatr. |volume=104 |issue=2 |pages=225–31 |year=1984 |pmid=6420531 |doi= |url=}}</ref>==== | |||
* [[Hepatobiliary disease|Hepatobiliary disorders]] | |||
** [[Cirrhosis]] | |||
** [[Alpha 1-Antitrypsin Deficiency|Alpha-1-antitrypsin deficiency]] | |||
** [[Congenital]] [[hepatic]] [[Fibrosis|fibrosis]] | |||
** [[Viral hepatitis]] | |||
** [[Budd-Chiari syndrome]] | |||
** [[Biliary atresia]] | |||
** [[Bile duct]] [[perforation]] | |||
** [[Portal venous system|Portal venous]] [[malformation]] | |||
** [[Hamartoma|Ruptured mesenchymal hamartoma]] | |||
* [[Gastrointestinal disorders]] | |||
** [[Intestinal malrotation]] | |||
** [[Intestinal perforation]] | |||
** [[Acute appendicitis]] | |||
** [[Intestinal atresia]] | |||
** [[Pancreatitis]] | |||
* [[Chylous ascites]] | |||
* [[Parenteral nutrition]] [[extravasation]] | |||
* [[Metabolic disease]] | |||
* [[Genitourinary pathology|Genitourinary disorders]] | |||
** [[Obstructive uropathy]] | |||
*** [[Posterior urethral valves]] | |||
*** [[Ureterocele]] | |||
*** [[Ureteral disease|Lower ureteral stenosis]] | |||
*** [[Ureteral]] [[atresia]] | |||
*** [[Imperforate hymen]] | |||
*** [[Bladder rupture]] | |||
** [[Bladder]] injury from [[umbilical artery]] [[catheterization]] | |||
** [[Nephrotic syndrome]] | |||
** Ruptured [[Corpus luteum|corpus luteum cyst]] | |||
* [[Cardiac]] | |||
** [[Arrhythmia]] | |||
** [[Heart failure]] | |||
* [[Hematologic]] | |||
** [[Neonatal hemochromatosis]] | |||
* Other | |||
** [[Cutis marmorata telangiectatica congenita|Cutis marmota telangictatica congenita]] | |||
** Intravenous [[vitamin E]] | |||
** Pseudo-[[ascites]] | |||
*** [[Small bowel]] duplication | |||
** [[Abdominal trauma]] | |||
** [[Idiopathic]] | |||
==== Causes of infants and children ascites<ref name="pmid11465792">{{cite journal |vauthors=Gil Z, Beni-Adani L, Siomin V, Nagar H, Dvir R, Constantini S |title=Ascites following ventriculoperitoneal shunting in children with chiasmatic-hypothalamic glioma |journal=Childs Nerv Syst |volume=17 |issue=7 |pages=395–8 |year=2001 |pmid=11465792 |doi= |url=}}</ref><ref name="pmid3054040">{{cite journal |vauthors=Goodman GM, Gourley GR |title=Ascites complicating ventriculoperitoneal shunts |journal=J. Pediatr. Gastroenterol. Nutr. |volume=7 |issue=5 |pages=780–2 |year=1988 |pmid=3054040 |doi= |url=}}</ref><ref name="pmid19898601">{{cite journal |vauthors=Zegarra A, García C, Piscoya A, de Los Ríos R, Luis Pinto J, Mayo N, Huerta-Mercado J |title=[Eosinophilic enteritis as a rare cause of ascites: case report] |language=Spanish; Castilian |journal=Rev Gastroenterol Peru |volume=29 |issue=3 |pages=272–5 |year=2009 |pmid=19898601 |doi= |url=}}</ref><ref name="pmid6391392">{{cite journal |vauthors=Caine Y, Deckelbaum RJ, Weizman Z, Lijovetsky G, Schiller M |title=Congenital hepatic fibrosis--unusual presentations |journal=Arch. Dis. Child. |volume=59 |issue=11 |pages=1094–6 |year=1984 |pmid=6391392 |pmc=1628818 |doi= |url=}}</ref> ==== | |||
* [[Hepato-biliary diseases|Hepatobiliary disorders]] | |||
** [[Cirrhosis]] | |||
** [[Congenital]] [[hepatic]] [[Fibrosis|fibrosis]] | |||
** [[Hepatitis|Acute hepatitis]] | |||
** [[Budd-Chiari syndrome]] | |||
** [[Bile duct]] [[perforation]] | |||
** [[Liver transplantation]] | |||
* [[Gastrointestinal disorders]] | |||
** [[Acute appendicitis]] | |||
** [[Intestinal atresia]] | |||
** [[Pancreatitis]] | |||
** [[Pylorus|Pyloric]] duplication | |||
* [[Serositis]] | |||
** [[Crohn disease]] | |||
** [[Eosinophilic enteritis|Eosinophilic enteropathy]] | |||
** [[Henoch-Schonlein purpura]] | |||
* [[Chylous ascites]] | |||
** [[Lymphangiectasia|Intestinal lymphangiectasia]] | |||
** [[Lymphatic System|Lymphatic duct]] obstruction | |||
** [[Lymphatic system|Lymphatic duct]] trauma | |||
* [[Parenteral nutrition]] [[extravasation]] | |||
* [[Neoplasm]] | |||
** [[Lymphoma]] | |||
** [[Wilms tumor|Wilm tumor]] | |||
** Clear cell renal [[sarcoma]] | |||
** [[Glioma]] | |||
** [[Germ cell tumor]] | |||
** [[Ovarian tumor]] | |||
** [[Mesothelioma]] | |||
** [[Neuroblastoma]] | |||
* [[Metabolic disease]] | |||
* [[Genitourinary pathology|Genitourinary disorders]] | |||
** [[Nephrotic syndrome]] | |||
** [[Peritoneal dialysis]] | |||
* [[Cardiac]] | |||
** [[Heart failure]] | |||
* Pseudo-ascites | |||
** [[Celiac disease]] | |||
** [[Mesothelioma|Cystic mesothelioma]] | |||
** Omental cyst | |||
** [[Ovarian cyst]] | |||
* Other | |||
** [[Systemic lupus erythematosus]] | |||
** [[Ventriculoperitoneal shunt]] | |||
** [[Vitamin A Overdose|Vitamin A toxicity]] | |||
** [[Chronic granulomatous disease]] | |||
** [[Nonaccidental trauma]] | |||
** [[Idiopathic]] | |||
===Causes by Organ System=== | ===Causes by Organ System=== | ||
{|style="width:80%; height:100px" border="1" | {| style="width:80%; height:100px" border="1" | ||
| | | style="width:25%" bgcolor="LightSteelBlue" ; border="1" | '''Cardiovascular''' | ||
| | | style="width:75%" bgcolor="Beige" ; border="1" | [[Arteriovenous fistula]], [[Budd-Chiari syndrome]], [[Cardiac amyloidosis]], [[Cardiomegaly]], [[Cardiomyopathy]], [[Cholesterol pericarditis]], [[Congestive heart failure]], [[Constrictive pericarditis]], [[Congestive heart failure]], [[Constrictive pericarditis]], [[Tuberculous pericarditis]], [[Chylous ascites]], [[Cor pulmonale]], [[Diffuse neonatal hemangiomatosis]], [[Endomyocardial fibrosis]], [[Heart failure]], [[Inferior vena cava web]], [[Lymphatic obstruction]], [[Lymphangioma]], [[Kaposiform hemangio-endothelioma]], [[Inferior vena cava syndrome]], [[Pericarditis]], [[Right heart failure]], [[Tricuspid insufficiency]], [[Tricuspid regurgitation]], [[Tricuspid stenosis]], [[Tricuspid valve disease|Tricuspid valve disease]], [[Veno-occlusive disease]], [[Ventriculoperitoneal shunt]], [[Waldmann disease]]. | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Chemical / poisoning''' | | '''Chemical / poisoning''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Dermatologic''' | | '''Dermatologic''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | [[Cutis marmorata telangiectatica congenita|Cutis marmota telangictatica congenita]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
|bgcolor="Beige"| [[Acyclovir]], [[ | | bgcolor="Beige" | [[Acyclovir]], [[Mercaptopurine]], [[Pramipexole]], [[Thalidomide]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Ear Nose Throat''' | | '''Ear Nose Throat''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Endocrine''' | | '''Endocrine''' | ||
|bgcolor="Beige"| [[Hypothyroidism]], | | bgcolor="Beige" | [[Hypothyroidism]], Thyroxine deficiency, [[Ovarian hyperstimulation syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Environmental''' | | '''Environmental''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Gastroenterologic''' | | '''Gastroenterologic''' | ||
|bgcolor="Beige"| [[Acute liver failure]], [[ | | bgcolor="Beige" | [[Acute liver failure]], [[Acute pancreatitis]], [[Alcoholic hepatitis]], [[Alcoholic liver disease]], [[Ascending cholangitis]], [[Biliary atresia]], [[Biliary fistula]], [[Budd-Chiari syndrome]], [[Cholangiocarcinoma]], [[Cholecystitis]], [[Cholelithiasis]], [[Chronic hepatitis]],[[Cirrhosis]], [[Colorectal cancer]], [[Congenital]] [[liver]] [[fibrosis]], [[End stage liver failure]], [[Eosinophilic gastroenteritis]], [[Esophageal cancer]], [[Fitz-Hugh-Curtis syndrome]], [[Fulminant liver failure]], [[Granulomatous peritonitis]], [[Hemochromatosis]], [[Hepatic failure]], [[Hepatic venoocclusive disease with immunodeficiency]], [[Hepatitis]], [[Hepato-biliary diseases]], [[Idiopathic liver cirrhosis]], [[Krukenberg tumor]], [[Liver cancer]], [[Liver damage]], [[Ménétrier's disease]], [[Mosse syndrome]], [[Neonatal hepatitis]], [[Nodular]] regenerative hyperplasia of the [[liver]], [[Nutmeg liver]], [[Obliterative portal venopathy]], [[Obstructive jaundice]], [[Pancreatic cancer]], [[Pancreatic fistula]], [[Peritonitis]], [[Portal hypertension]], [[Portal vein occlusion]], [[Portal vein thrombosis]], [[Primary biliary cirrhosis]], [[Primary sclerosing cholangitis]], [[Pseudomyxoma peritonei]], [[Secondary biliary cirrhosis]], Severe [[hepatitis]], [[Stomach cancer]], [[Tuberculous peritonitis]], [[Waldmann disease]], [[Whipple disease]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Genetic''' | | '''Genetic''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | [[Niemann-Pick Disease, Type C|Niemann-Pick type C]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Hematologic''' | | '''Hematologic''' | ||
|bgcolor="Beige"| [[Angioimmunoblastic T-cell lymphoma]], [[Banti's Syndrome]], [[Budd-chiari syndrome]], [[ | | bgcolor="Beige" | [[Angioimmunoblastic T-cell lymphoma]], [[Banti's Syndrome]], [[Budd-chiari syndrome]], [[Diffuse neonatal hemangiomatosis]], [[Eosinophilic gastroenteritis]], [[Erythroblastosis fetalis ]] , [[Extramedullary haemopoiesis]], [[Hemolytic disease of the newborn]], [[Mastocytosis]], [[Mosse syndrome]], [[Tang Hsi Ryu syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Iatrogenic''' | | '''Iatrogenic''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | [[Bladder]] injury from [[umbilical artery]] [[catheterization]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Infectious Disease''' | | '''Infectious Disease''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | | ||
[[Alveolar hydatid disease]], | [[Alveolar hydatid disease]], [[Amebiasis]], [[Bilharzia]], [[Chronic hepatitis]], [[Chronic viral hepatitis]], [[Cytomegalovirus infection|cytomegalovirus]], [[Echinococcosis]], [[Epstein-Barr virus|Epstein Barr virus]], [[Filariasis]], [[Fitz-Hugh-Curtis syndrome]], [[Hepatitis A|acute hepatitis A]], [[Hepatitis B|Acute hepatitis B]], [[hepatitis C|Acute hepatitis C]], [[Hepatitis D|Acute Hepatitis D]], [[hepatitis E|Acute hepatitis E]], [[herpes simplex|Herpes simplex infection]], [[Hookworm disease]], [[Kaposiform hemangio-endothelioma]], [[Leptospirosis]], [[Malaria]], | ||
[[ | [[Portal hypertension]] in [[schistosomiasis]], [[Poststreptococcal glomerulonephritis]], [[rubella|Rubella virus infection]],[[Schistosomiasis]], [[schistosomiasis|Hepatosplenic schistosomiasis]], [[Sleeping sickness]], [[Strongyloidiasis]], Stuartbras disease, [[Syphilis|liver disease in syphilis]], [[Toxoplasmosis]], [[Tuberculosis]], [[Tuberculous peritonitis]], [[Tularemia]], [[Whipple disease]], [[yellow fever|Yellow fever virus infection]] | ||
[[ | |||
[[ | |||
[[ | |||
[[Cytomegalovirus infection|cytomegalovirus]], | |||
[[ | |||
[[ | |||
[[ | |||
[[Fitz-Hugh-Curtis syndrome]], | |||
[[ | |||
[[ | |||
[[hepatitis C| | |||
[[ | |||
[[hepatitis E| | |||
[[herpes simplex| | |||
[[ | |||
[[Kaposiform hemangio-endothelioma]], | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[rubella|Rubella virus infection]], | |||
[[ | |||
[[schistosomiasis| | |||
[[ | |||
[[ | |||
Stuartbras disease, | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[Whipple disease]], | |||
[[yellow fever| | |||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Musculoskeletal / Ortho''' | | '''Musculoskeletal / Ortho''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Neurologic''' | | '''Neurologic''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Nutritional / Metabolic''' | | '''Nutritional / Metabolic''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | | ||
[[Crigler-Najjar syndrome]], | [[Crigler-Najjar syndrome]], [[Dubin-Johnson syndrome]], [[Gilbert's syndrome]], [[Hemochromatosis]], [[Hypoalbuminemia]], [[Kwashiorkor]], [[Rotor's syndrome]], [[VLCAD deficiency]], [[Wilson's Disease]] | ||
[[Dubin-Johnson syndrome]], | |||
[[Gilbert's syndrome]], | |||
[[ | |||
[[ | |||
[[Kwashiorkor]], | |||
[[Rotor's syndrome]] | |||
[[VLCAD deficiency]], | |||
[[Wilson's Disease]] | |||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Obstetric/Gynecologic''' | | '''Obstetric/Gynecologic''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | | ||
[[Meigs' syndrome]], | [[Meigs' syndrome]], [[Mirror syndrome]] | ||
[[ | |||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Oncologic''' | | '''Oncologic''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | | ||
[[Anasarca ]], | [[Anasarca]], [[Angioimmunoblastic T-cell lymphoma]], [[Angiosarcoma]] of the [[liver]], [[Bladder cancer]], [[Cholangiocarcinoma]], [[Cirrhosis of liver]], [[Colorectal cancer]], [[Desmoplastic small round cell tumor]], [[Esophageal cancer]], [[Liver cancer]], [[Liver cirrhosis]], [[Lung cancer]], [[Meig's syndrome]], [[Metastasis]], [[Ovarian cancer]], [[Pancreatic cancer]], [[Pelvic]] region [[cancers]], [[Pseudomyxoma peritonei]], [[Stomach cancer]], [[WAGR syndrome]], [[Wilms tumor]], [[Yolk sac tumor]], | ||
[[Angioimmunoblastic T-cell lymphoma]], | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[Meig's syndrome]], | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[WAGR syndrome]], | |||
[[Wilms tumor]], | |||
[[ | |||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Opthalmologic''' | | '''Opthalmologic''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Overdose / Toxicity''' | | '''Overdose / Toxicity''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | [[Vitamin A Overdose|Vitamin A toxicity]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Psychiatric''' | | '''Psychiatric''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | [[Maternal]]/fetal [[abuse]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Pulmonary''' | | '''Pulmonary''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | | ||
[[Cor pulmonale]], | [[Cor pulmonale]], [[Lung cancer]], [[Mesothelioma]], [[Nephrotic syndrome]], [[Pulmonary hypertension]] | ||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Renal / Electrolyte''' | | '''Renal / Electrolyte''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | | ||
[[Hepatorenal syndrome]], | [[Hepatorenal syndrome]], [[Nephrotic syndrome]] | ||
[[ | |||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Rheum / Immune / Allergy''' | | '''Rheum / Immune / Allergy''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | | ||
[[ | Chronic [[bacterial]] [[infection]], [[Erythroblastosis fetalis]], [[Eosinophilic gastroenteritis]], [[Eosinophilic]] [[peritonitis]], [[Hemolytic disease of the newborn]], [[Hemolytic anemia]], [[Hepatic venoocclusive disease with immunodeficiency]], [[Hepatoma]], [[Immunoproliferative diseases]], [[Primary biliary cirrhosis]], [[Systemic lupus erythematosus]] | ||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
[[ | |||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Sexual''' | | '''Sexual''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Trauma''' | | '''Trauma''' | ||
|bgcolor="Beige"| [[Bladder rupture]] | | bgcolor="Beige" | [[Bladder rupture]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Urologic''' | | '''Urologic''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | [[Posterior urethral valves]], [[Ureterocele]], [[Ureteral disease|Lower ureteral stenosis]], [[Ureteral]] [[atresia]], [[Imperforate hymen]], [[Bladder rupture]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Miscellaneous''' | | '''Miscellaneous''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | | ||
[[Hypervolemia]], | [[Hypervolemia]], [[Idiopathic]], [[Metastasis]], [[Obesity hypoventilation syndrome]], [[POEMS syndrome]] | ||
[[ | |||
[[ | |||
[[ | |||
[[POEMS syndrome]] | |||
|- | |- | ||
|} | |} | ||
===Causes in Alphabetical Order=== | ===Causes in Alphabetical Order=== | ||
{{ | {{Columns-list|3| | ||
*[[Acute liver failure]] | |||
*[[Acute pancreatitis]] | * [[Abdominal trauma]] | ||
*[[Alcoholic hepatitis]] | * [[Acute appendicitis]] | ||
*[[Alcoholic liver disease]] | * [[Acute liver failure]] | ||
*[[Alveolar hydatid disease]] | * [[Acute pancreatitis]] | ||
*[[Angioimmunoblastic T-cell lymphoma]] | * [[Acyclovir]] | ||
*[[ | * [[Alcoholic hepatitis]] | ||
*[[Banti's | * [[Alpha 1-Antitrypsin Deficiency|Alpha-1-antitrypsin deficiency]] | ||
*[[Biliary fistula]] | * [[Alcoholic liver disease]] | ||
*[[Budd-Chiari syndrome]] | * [[Alveolar hydatid disease]] | ||
*[[Cardiac amyloidosis]] | * [[Amebiasis]] | ||
*[[ | * [[Anasarca]] | ||
*[[Cholangiocarcinoma]] | * [[Angioimmunoblastic T-cell lymphoma]] | ||
*[[Cholesterol pericarditis]] | * [[Angiosarcoma]] of the [[liver]] | ||
*[[Chronic hepatitis]] | * [[Arteriovenous fistula]] | ||
*[[Chylous ascites]] | * [[Arrhythmia]] | ||
*[[Cirrhosis]] | * [[Ascending cholangitis]] | ||
*[[Congestive | * [[Banti's Syndrome]] | ||
*[[Constrictive pericarditis]] | * [[Bile duct]] [[perforation]] | ||
*[[ | * [[Bilharzia]] | ||
*[[Desmoplastic small round cell tumor]] | * [[Biliary atresia]] | ||
*[[Eosinophilic gastroenteritis]] | * [[Biliary fistula]] | ||
* | * [[Bladder cancer]] | ||
*[[ | * [[Bladder]] injury from [[umbilical artery]] [[catheterization]] | ||
*[[ | * [[Bladder rupture]] | ||
*[[ | * [[Budd-Chiari syndrome]] | ||
*[[Hepatic failure]] | * [[Cardiac amyloidosis]] | ||
*[[Hepatic | * [[Cardiomegaly]] | ||
*[[Hepatitis C]] | * [[Cardiomyopathy]] | ||
* [[Celiac disease]] | |||
*[[Hepato-biliary diseases]] | * [[Cholangiocarcinoma]] | ||
*[[Hepatorenal syndrome]] | * [[Cholecystitis]] | ||
*[[Hookworm]] | * [[Cholelithiasis]] | ||
*[[Hypervolemia]] | * [[Cholesterol pericarditis]] | ||
*[[Hypoalbuminemia]] | * [[Chronic]] [[bacterial infection]] | ||
*[[Idiopathic]] | * [[Chronic granulomatous disease]] | ||
*Intestinal | * [[Chronic hepatitis]] | ||
*[[Kwashiorkor]] | * [[Chronic viral hepatitis]] | ||
*[[ | * [[Chylous ascites]] | ||
*[[ | * [[Cirrhosis]] | ||
*[[Ménétrier's disease]] | * Clear cell renal sarcoma | ||
*[[Mirror syndrome]] | * [[Colorectal cancer]] | ||
*[[Nephrotic syndrome]] | * [[Congenital disorders of glycosylation]] | ||
*[[Nutmeg liver]] | * [[Congenital]] [[liver]] [[fibrosis]] | ||
*[[Obesity hypoventilation syndrome]] | * [[Congestive heart failure]] | ||
* | * [[Constrictive pericarditis]] | ||
*[[Ovarian cancer]] | * [[Cor pulmonale]] | ||
*[[Ovarian hyperstimulation syndrome]] | * [[Crigler-Najjar syndrome]] | ||
*[[Pancreatic fistula]] | * [[Crohn disease]] | ||
*[[Peritonitis]] | * [[Cutis marmorata telangiectatica congenita|Cutis marmota telangictatica congenita]] | ||
*[[POEMS syndrome]] | * [[Cystic fibrosis|Cystic fibrosis]] | ||
*[[Portal hypertension]] | * [[Mesothelioma|Cystic mesothelioma]] | ||
*[[Portal vein occlusion]] | * [[Cytomegalovirus infection|cytomegalovirus]] | ||
*[[Primary biliary cirrhosis]] | * [[Desmoplastic small round cell tumor]] | ||
*[[Pulmonary hypertension]] | * [[Diffuse neonatal hemangiomatosis]] | ||
*[[ | * [[Dubin-Johnson syndrome]] | ||
*[[Tricuspid insufficiency]] | * [[Echinococcosis]] | ||
*[[Turner | * [[End stage liver failure]] | ||
*[[Veno-occlusive disease]] | * [[Endomyocardial fibrosis]] | ||
*[[Wilson's Disease]] | * [[Eosinophilic gastroenteritis]] | ||
* [[Epstein-Barr virus|Epstein Barr virus]] | |||
* [[Erythroblastosis fetalis ]] | |||
* [[Esophageal cancer]] | |||
* [[Extramedullary haemopoiesis]] | |||
* [[Filariasis]] | |||
* [[Fitz-Hugh-Curtis syndrome]] | |||
* [[Fulminant liver failure]] | |||
* [[Germ cell tumor]] | |||
* [[Gilbert's syndrome]] | |||
* [[Glioma]] | |||
* [[Granulomatous peritonitis]] | |||
* [[Heart failure]] | |||
* [[Hemochromatosis]] | |||
* [[Hemolytic anemia]] | |||
* [[Hemolytic disease of the newborn]] | |||
* [[Henoch-Schonlein purpura]] | |||
* [[Hepatic failure]] | |||
* [[Hepatic venoocclusive disease with immunodeficiency]] | |||
* [[Hepatitis A]] | |||
* [[Hepatitis B]] | |||
* [[Hepatitis C]] | |||
* [[Hepatitis D]] | |||
* [[Hepatitis E]] | |||
* [[Hepatitis]] | |||
* [[Hepato-biliary diseases]] | |||
* [[Hepatoma]] | |||
* [[Hepatorenal syndrome]] | |||
* [[Herpes simplex|herpes simplex infection]] | |||
* [[Hookworm disease]] | |||
* [[Hydronephrosis]] | |||
* [[Hypervolemia]] | |||
* [[Hypoalbuminemia]] | |||
* [[Hypothyroidism]] | |||
* [[Idiopathic liver cirrhosis]] | |||
* [[Imperforate hymen]] | |||
* [[Immunoproliferative diseases]] | |||
* [[Inferior vena cava syndrome]] | |||
* [[Inferior vena cava web]] * [[Intestinal atresia]] | |||
* [[Intestinal malrotation]] | |||
* [[Lymphangiectasia|Intestinal lymphangiectasia]] | |||
* Intravenous [[vitamin E]] | |||
* [[Intussusception]] | |||
* [[Kaposiform hemangio-endothelioma]] | |||
* [[Krukenberg tumor]] | |||
* [[Kwashiorkor]] | |||
* [[Leptospirosis]] | |||
* [[Liver cancer]] | |||
* [[Liver cirrhosis]] | |||
* [[Liver damage]] | |||
* [[Liver transplantation]] | |||
* [[Loeffler syndrome]] | |||
* [[Lung cancer]] | |||
* [[Lymphangioma]] | |||
* [[Lymphatic System|Lymphatic duct]] obstruction | |||
* [[Lymphatic system|Lymphatic duct]] trauma | |||
* [[Lymphatic obstruction]] | |||
* [[Lymphoma]] | |||
* [[Lysosomal storage diseases|Lysosomal storage disease]] | |||
* [[Malaria]] | |||
* [[Mastocytosis]] | |||
* [[Maternal]]/fetal [[abuse]] | |||
* [[Meconium peritonitis]] | |||
* [[Meig's syndrome]] | |||
* [[Ménétrier's disease]] | |||
* [[Mercaptopurine]] | |||
* [[Mesothelioma]] | |||
* [[Metastasis]] | |||
* [[Mirror syndrome]] | |||
* [[Mosse syndrome]] | |||
* [[Niemann-Pick Disease, Type C|Niemann-Pick type C]] | |||
* [[Neonatal hemochromatosis]] | |||
* [[Neonatal hepatitis]] | |||
* [[Nephrotic syndrome]] | |||
* [[Neuroblastoma]] | |||
* [[Nodular]] regenerative [[hyperplasia]] of the [[liver]] | |||
* [[Nutmeg liver]] | |||
* [[Obesity hypoventilation syndrome]] | |||
* [[Obliterative portal venopathy]] | |||
* [[Obstructive jaundice]] | |||
* [[Obstructive uropathy]] | |||
* Omental cyst | |||
* [[Ovarian cyst]] | |||
* [[Ovarian cancer]] | |||
* [[Ovarian hyperstimulation syndrome]] | |||
* [[Pancreatic cancer]] | |||
* [[Pancreatic fistula]] | |||
* [[Pancreatitis]] | |||
* [[Parenteral nutrition]] [[extravasation]] | |||
* [[Parvovirus]] | |||
* [[Pelvic]] region [[cancers]] | |||
* [[Pericarditis]] | |||
* [[Peritonitis]] | |||
* [[Peritoneal dialysis]] | |||
* [[Persistent cloaca]] | |||
* [[POEMS syndrome]] | |||
* [[Polycystic kidney disease]] | |||
* [[Portal hypertension]] | |||
* [[Portal hypertension]] in [[schistosomiasis]] | |||
* [[Portal vein occlusion]] | |||
* [[Portal vein thrombosis]] | |||
* [[Portal venous system|Portal venous]] [[malformation]] | |||
* [[Poststreptococcal glomerulonephritis]] | |||
* [[Posterior urethral valves]] | |||
* [[Pramipexole]] | |||
* [[Primary biliary cirrhosis]] | |||
* [[Primary sclerosing cholangitis]] | |||
* [[Pseudomyxoma peritonei]] | |||
* [[Pulmonary hypertension]] | |||
* [[Pylorus|Pyloric]] duplication | |||
* [[Right heart failure]] | |||
* [[Rotor's syndrome]] | |||
* [[Rubella|Rubella virus infection]] | |||
* Ruptured [[Corpus luteum|corpus luteum cyst]] | |||
* [[Hamartoma|Ruptured mesenchymal hamartoma]] | |||
* [[Schistosomiasis]] | |||
* [[Schistosomiasis|hepatosplenic schistosomiasis]] | |||
* [[Secondary biliary cirrhosis]] | |||
* Severe [[hepatitis]] | |||
* [[Sleeping sickness]] | |||
* [[Stomach cancer]] | |||
* [[Strongyloidiasis]] | |||
* [[Budd-Chiari syndrome|Stuartbras disease]] | |||
* [[Small intestine|Small intestinal]] or [[Colon (anatomy)|colonic]] [[atresia]] | |||
* [[Syphilis|liver disease in syphilis]] | |||
* [[Systemic lupus erythematosus]] | |||
* [[Tang Hsi Ryu syndrome]] | |||
* [[Thalidomide]] | |||
* [[Thyroxine]] deficiency | |||
* [[Toxoplasmosis]] | |||
* [[Tricuspid insufficiency]] | |||
* [[Tricuspid regurgitation]] | |||
* [[Tricuspid stenosis]] | |||
* [[Tricuspid valve disease|tricuspid valve disease]] | |||
* [[Trisomy]] | |||
* [[Tuberculosis]] | |||
* [[Tuberculous pericarditis]] | |||
* [[Tuberculous peritonitis]] | |||
* [[Tularemia]] | |||
* [[Turner syndrome]] | |||
* [[Ureterocele]] | |||
* [[Ureteral disease|Lower ureteral stenosis]] | |||
* [[Ureteral]] [[atresia]] | |||
* [[Veno-occlusive disease]] | |||
* [[Ventriculoperitoneal shunt]] | |||
* [[Vitamin A Overdose|Vitamin A toxicity]] | |||
* [[VLCAD deficiency]] | |||
* [[Volvulus]] | |||
* [[WAGR syndrome]] | |||
* [[Waldmann disease]] | |||
* [[Whipple disease]] | |||
* [[Wilms tumor]] | |||
* [[Wilson's Disease]] | |||
* [[Wolman disease]] | |||
* [[Yellow fever|yellow fever virus infection]] | |||
* [[Yolk sac tumor]] | |||
}} | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category: Medicine]] | |||
[[Category: Up-To-Date]] | |||
[[Category: Gastroenterology]] | |||
[[Category: Hepatology]] | |||
[[Category: Emergency medicine]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} |
Latest revision as of 12:29, 12 February 2018
Ascites Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Ascites causes On the Web |
American Roentgen Ray Society Images of Ascites causes |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2], M.Umer Tariq [3], Carlos A Lopez, M.D. [4]
Overview
Life-threatening causes of ascites are acute liver failure, hepatic failure, and hepatorenal syndrome. Common causes of ascites are Budd-Chiari syndrome, malignancy, and cirrhosis. Less common causes of ascites are the conditions which may lead to fetal ascites, neonatal ascites, and infantile ascites.
Causes
Life Threatening Causes
Common Causes
- Budd-Chiari syndrome
- Cancer
- Cirrhosis
- Constrictive pericarditis
- Heart failure
- Nephrotic syndrome
- Pancreatitis
- Serositis
- Tuberculosis
Less common causes
Causes of fetal ascites[1][2][3][4][5]
- Gastrointestinal disorders
- Infection
- Parvovirus
- Syphilis
- Cytomegalovirus
- Toxoplasmosis
- Acute maternal hepatitis
- Genitourinary disorders
- Chylous ascites
- Cardiac disorders
- Chromosomal abnormalities
- Neoplasm
- Hematologic
- Metabolic disease
- Other
- Maternal/fetal abuse
- Idiopathic
Causes of neonatal ascites[6][7][8][9]
- Hepatobiliary disorders
- Gastrointestinal disorders
- Chylous ascites
- Parenteral nutrition extravasation
- Metabolic disease
- Genitourinary disorders
- Cardiac
- Hematologic
- Other
- Cutis marmota telangictatica congenita
- Intravenous vitamin E
- Pseudo-ascites
- Small bowel duplication
- Abdominal trauma
- Idiopathic
Causes of infants and children ascites[10][11][12][13]
- Hepatobiliary disorders
- Gastrointestinal disorders
- Acute appendicitis
- Intestinal atresia
- Pancreatitis
- Pyloric duplication
- Serositis
- Chylous ascites
- Intestinal lymphangiectasia
- Lymphatic duct obstruction
- Lymphatic duct trauma
- Parenteral nutrition extravasation
- Neoplasm
- Lymphoma
- Wilm tumor
- Clear cell renal sarcoma
- Glioma
- Germ cell tumor
- Ovarian tumor
- Mesothelioma
- Neuroblastoma
- Metabolic disease
- Genitourinary disorders
- Cardiac
- Pseudo-ascites
- Celiac disease
- Cystic mesothelioma
- Omental cyst
- Ovarian cyst
- Other
Causes by Organ System
Causes in Alphabetical Order
The unnamed parameter 2= is no longer supported. Please see the documentation for {{columns-list}}.
3
References
- ↑ Sun CC, Keene CL, Nagey DA (1990). "Hepatic fibrosis in congenital cytomegalovirus infection: with fetal ascites and pulmonary hypoplasia". Pediatr Pathol. 10 (4): 641–6. PMID 2164662.
- ↑ Stocker JT (1985). "Congenital cytomegalovirus infection presenting as massive ascites with secondary pulmonary hypoplasia". Hum. Pathol. 16 (11): 1173–5. PMID 2997019.
- ↑ Patton WL, Lutz AM, Willmann JK, Callen P, Barkovich AJ, Gooding CA (1998). "Systemic spread of meconium peritonitis". Pediatr Radiol. 28 (9): 714–6. doi:10.1007/s002470050449. PMID 9732503.
- ↑ Dirkes K, Crombleholme TM, Craigo SD, Latchaw LA, Jacir NN, Harris BH, D'Alton ME (1995). "The natural history of meconium peritonitis diagnosed in utero". J. Pediatr. Surg. 30 (7): 979–82. PMID 7472957.
- ↑ Son M, Walsh CA, Baxi LV (2010). "Prenatal diagnosis of urinary ascites in a fetus with meningomyelocele". Fetal. Diagn. Ther. 28 (1): 61–4. doi:10.1159/000312405. PMID 20389051.
- ↑ Spriggs, DW; Brantley, RE (1977). "Thoracic and abdominal extravasation: a complication of hyperalimentation in infants". American Journal of Roentgenology. 128 (3): 419–422. doi:10.2214/ajr.128.3.419. ISSN 0361-803X.
- ↑ Hepworth RC, Milstein JM (1984). "The transected urachus: an unusual cause of neonatal ascites". Pediatrics. 73 (3): 397–400. PMID 6701064.
- ↑ Keller M, Scholl-Buergi S, Sergi C, Theurl I, Weiss G, Unsinn KM, Trawöger R (2008). "An unusual case of intrauterine symptomatic neonatal liver failure". Klin Padiatr. 220 (1): 32–6. doi:10.1055/s-2007-970591. PMID 18172830.
- ↑ Gillan JE, Lowden JA, Gaskin K, Cutz E (1984). "Congenital ascites as a presenting sign of lysosomal storage disease". J. Pediatr. 104 (2): 225–31. PMID 6420531.
- ↑ Gil Z, Beni-Adani L, Siomin V, Nagar H, Dvir R, Constantini S (2001). "Ascites following ventriculoperitoneal shunting in children with chiasmatic-hypothalamic glioma". Childs Nerv Syst. 17 (7): 395–8. PMID 11465792.
- ↑ Goodman GM, Gourley GR (1988). "Ascites complicating ventriculoperitoneal shunts". J. Pediatr. Gastroenterol. Nutr. 7 (5): 780–2. PMID 3054040.
- ↑ Zegarra A, García C, Piscoya A, de Los Ríos R, Luis Pinto J, Mayo N, Huerta-Mercado J (2009). "[Eosinophilic enteritis as a rare cause of ascites: case report]". Rev Gastroenterol Peru (in Spanish; Castilian). 29 (3): 272–5. PMID 19898601.
- ↑ Caine Y, Deckelbaum RJ, Weizman Z, Lijovetsky G, Schiller M (1984). "Congenital hepatic fibrosis--unusual presentations". Arch. Dis. Child. 59 (11): 1094–6. PMC 1628818. PMID 6391392.