Ascites causes: Difference between revisions

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{{Ascites}}
{{Ascites}}


{{CMG}}; {{AE}} {{MUT}}, {{CLG}}, {{EG}}
{{CMG}}; {{AE}}{{EG}}, {{MUT}}, {{CLG}}


==Overview==
==Overview==
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=== Less common causes ===
=== Less common causes ===


==== Causes of fetal ascites ====
==== 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> ====
* Gastrointestinal disorders  
* [[Gastrointestinal disorders]]
** [[Meconium]] peritonitis
** [[Meconium peritonitis]]
** Intestinal malrotation
** [[Intestinal malrotation]]
** Small intestinal or colonic atresia
** [[Small intestine|Small intestinal]] or [[Colon (anatomy)|colonic]] [[atresia]]
** Intussusception  
** [[Intussusception]]
** Volvulus  
** [[Volvulus]]
** Cystic fibrosis  
** [[Cystic fibrosis|Cystic fibrosis]]
** Biliary atresia
** [[Biliary atresia]]
** Portal venous malformations
** [[Portal venous system|Portal venous]] malformations
* Infection  
* [[Infection]]
** Parvovirus  
** [[Parvovirus]]
** Syphilis  
** [[Syphilis]]
** Cytomegalovirus  
** [[Cytomegalovirus]]
** Toxoplasmosis  
** [[Toxoplasmosis]]
** Acute maternal hepatitis
** Acute maternal [[hepatitis]]
* Genitourinary disorders
* [[Genitourinary pathology|Genitourinary disorders]]
** Hydronephrosis  
** [[Hydronephrosis]]
** Polycystic kidney disease
** [[Polycystic kidney disease]]
** Urinary obstruction
** [[Urinary obstruction]]
** Ovarian cyst
** [[Ovarian cysts|Ovarian cyst]]
** Persistent cloaca
** [[Persistent cloaca]]
* Chylous ascites   
* [[Chylous ascites]]  
* Cardiac disorders  
* [[Cardiac disease|Cardiac disorders]]
** Arrhythmia
** [[Arrhythmia]]
** Heart failure  
** [[Heart failure]]
* Chromosomal abnormalities  
* [[Chromosomal abnormalities]]
** Trisomy  
** [[Trisomy]]
** Turner syndrome  
** [[Turner syndrome]]
* Neoplasm  
* [[Neoplasm]]
* Hematologic
* [[Hematologic]]
** Hemolytic anemia  
** [[Hemolytic anemia]]
** Neonatal hemochromatosis
** [[Neonatal hemochromatosis]]
* Metabolic disease
* [[Metabolic disease]]
** Niemann-Pick type C  
** [[Niemann-Pick Disease, Type C|Niemann-Pick type C]]
** Congenital disorders of glycosylation
** [[Congenital disorders of glycosylation]]
** Wolman disease
** [[Wolman disease]]
** Lysosomal storage disease
** [[Lysosomal storage diseases|Lysosomal storage disease]]
* Other  
* Other  
** Maternal/fetal abuse
** [[Maternal]]/fetal [[abuse]]
** Idiopathic  
** [[Idiopathic]]


==== Causes of neonatal ascites ====
==== Causes of neonatal ascites ====
* Hepatobiliary disorders  
* [[Hepatobiliary disease|Hepatobiliary disorders]]
** Cirrhosis  
** [[Cirrhosis]]
** Alpha-1-antitrypsin deficiency
** [[Alpha 1-Antitrypsin Deficiency|Alpha-1-antitrypsin deficiency]]
** Congenital hepatic fibrosis
** [[Congenital]] [[hepatic]] [[Fibrosis|fibrosis]]
** Viral hepatitis
** [[Viral hepatitis]]
** Budd-Chiari syndrome
** [[Budd-Chiari syndrome]]
** Biliary atresia
** [[Biliary atresia]]
** Bile duct perforation
** [[Bile duct]] [[perforation]]
** Portal venous malformation  
** [[Portal venous system|Portal venous]] [[malformation]]
** Ruptured mesenchymal hamartoma
** [[Hamartoma|Ruptured mesenchymal hamartoma]]
* Gastrointestinal disorders  
* [[Gastrointestinal disorders]]
** Intestinal malrotation
** [[Intestinal malrotation]]
** Intestinal perforation
** [[Intestinal perforation]]
** Acute appendicitis
** [[Acute appendicitis]]
** Intestinal atresia
** [[Intestinal atresia]]
** Pancreatitis
** [[Pancreatitis]]
* Chylous ascites
* [[Chylous ascites]]
* Parenteral nutrition extravasation
* [[Parenteral nutrition]] [[extravasation]]
* Metabolic disease
* [[Metabolic disease]]
* Genitourinary disorders  
* [[Genitourinary pathology|Genitourinary disorders]]
** Obstructive uropathy   
** [[Obstructive uropathy]]  
*** Posterior urethral valves   
*** [[Posterior urethral valves]]  
*** Ureterocele   
*** [[Ureterocele]]  
*** Lower ureteral stenosis   
*** [[Ureteral disease|Lower ureteral stenosis]]  
*** Ureteral atresia   
*** [[Ureteral]] [[atresia]]  
*** Imperforate hymen   
*** [[Imperforate hymen]]  
*** Bladder rupture         
*** [[Bladder rupture]]          
** Bladder injury from umbilical artery catheterization  
** [[Bladder]] injury from [[umbilical artery]] [[catheterization]]
** Nephrotic syndrome  
** [[Nephrotic syndrome]]
** Ruptured corpus luteum cyst  
** Ruptured [[Corpus luteum|corpus luteum cyst]]
* Cardiac  
* [[Cardiac]]
** Arrhythmia  
** [[Arrhythmia]]
** Heart failure  
** [[Heart failure]]
* Hematologic
* [[Hematologic]]
** Neonatal hemochromatosis  
** [[Neonatal hemochromatosis]]
* Other  
* Other  
** Cutis marmota telangictatica congenita  
** [[Cutis marmorata telangiectatica congenita|Cutis marmota telangictatica congenita]]
** Intravenous vitamin E  
** Intravenous [[vitamin E]]
** Pseudo-ascites  
** Pseudo-[[ascites]]
*** Small bowel duplication  
*** [[Small bowel]] duplication  
** Abdominal trauma  
** [[Abdominal trauma]]
** Idiopathic
** [[Idiopathic]]


==== Causes of infants and children ====
==== Causes of infants and children ====
* Hepatobiliary disorders  
* [[Hepato-biliary diseases|Hepatobiliary disorders]]
** Cirrhosis  
** [[Cirrhosis]]
** Congenital hepatic fibrosis
** [[Congenital]] [[hepatic]] [[Fibrosis|fibrosis]]
** Acute hepatitis
** [[Hepatitis|Acute hepatitis]]
** Budd-Chiari syndrome
** [[Budd-Chiari syndrome]]
** Bile duct perforation
** [[Bile duct]] [[perforation]]
** Liver transplantation
** [[Liver transplantation]]
* Gastrointestinal disorders
* [[Gastrointestinal disorders]]
** Acute appendicitis
** [[Acute appendicitis]]
** Intestinal atresia
** [[Intestinal atresia]]
** Pancreatitis
** [[Pancreatitis]]
** Pyloric duplication
** [[Pylorus|Pyloric]] duplication
* Serositis  
* [[Serositis]]
** Crohn disease
** [[Crohn disease]]
** Eosinophilic enteropathy
** [[Eosinophilic enteritis|Eosinophilic enteropathy]]
** Henoch-Schonlein purpura
** [[Henoch-Schonlein purpura]]
* Chylous ascites
* [[Chylous ascites]]
** Intestinal lymphangiectasia
** [[Lymphangiectasia|Intestinal lymphangiectasia]]
** Lymphatic duct obstruction
** [[Lymphatic System|Lymphatic duct]] obstruction
** Lymphatic duct trauma
** [[Lymphatic system|Lymphatic duct]] trauma
* Parenteral nutrition extravasation
* [[Parenteral nutrition]] [[extravasation]]
* Neoplasm  
* [[Neoplasm]]
** Lymphoma
** [[Lymphoma]]
** Wilm tumor
** [[Wilms tumor|Wilm tumor]]
** Clear cell renal sarcoma
** Clear cell renal sarcoma
** Glioma
** [[Glioma]]
** Germ cell tumor
** [[Germ cell tumor]]
** Ovarian tumor
** [[Ovarian tumor]]
** Mesothelioma
** [[Mesothelioma]]
** Neuroblastoma
** [[Neuroblastoma]]
* Metabolic disease
* [[Metabolic disease]]
* Genitourinary disorders
* [[Genitourinary pathology|Genitourinary disorders]]
** Nephrotic syndrome  
** [[Nephrotic syndrome]]
** Peritoneal dialysis   
** [[Peritoneal dialysis]]  
* Cardiac  
* [[Cardiac]]
** Heart failure
** [[Heart failure]]
* Pseudo-ascites
* Pseudo-ascites
** Celiac disease
** [[Celiac disease]]
** Cystic mesothelioma
** [[Mesothelioma|Cystic mesothelioma]]
** Omental cyst
** Omental cyst
** Ovarian cyst
** [[Ovarian cyst]]
* Other  
* Other  
** Systemic lupus erythematosus  
** [[Systemic lupus erythematosus]]
** Ventriculoperitoneal shunt  
** [[Ventriculoperitoneal shunt]]
** Vitamin A toxicity  
** [[Vitamin A Overdose|Vitamin A toxicity]]
** Chronic granulomatous disease  
** [[Chronic granulomatous disease]]
** Nonaccidental trauma  
** [[Nonaccidental trauma]]
** Idiopathic
** [[Idiopathic]]


===Causes by Organ System===
===Causes by Organ System===

Revision as of 20:00, 11 January 2018

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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

Ascites is a gastroenterological term for an excess accumulation of fluid in the peritoneal cavity. Life threatening causes are acute liver failure, hepatic failure, and hepatorenal syndrome. Common causes are Budd-Chiari syndrome, malignancy, and cirrhosis.

Causes

Life Threatening Causes

Common Causes

Less common causes

Causes of fetal ascites[1]

Causes of neonatal ascites

Causes of infants and children

Causes by Organ System

Cardiovascular 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, Veno-occlusive disease, Ventriculoperitoneal shunt, Waldmann disease.
Chemical / poisoning No underlying causes
Dermatologic No underlying causes
Drug Side Effect Acyclovir, Mercaptopurine, Pramipexole, Thalidomide
Ear Nose Throat No underlying causes
Endocrine Hypothyroidism, Thyroxine deficiency, Ovarian hyperstimulation syndrome
Environmental No underlying causes
Gastroenterologic 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
Genetic No underlying causes
Hematologic 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
Iatrogenic No underlying causes
Infectious Disease

Alveolar hydatid disease, Amebiasis, Bilharzia, Chronic hepatitis, Chronic viral hepatitis, cytomegalovirus, Echinococcosis, Epstein Barr virus, Filariasis, Fitz-Hugh-Curtis syndrome, acute hepatitis A, Acute hepatitis B, Acute hepatitis C, Acute Hepatitis D, Acute hepatitis E, Herpes simplex infection, Hookworm disease, Kaposiform hemangio-endothelioma, Leptospirosis, Malaria, Portal hypertension in schistosomiasis, Poststreptococcal glomerulonephritis, Rubella virus infection,Schistosomiasis, Hepatosplenic schistosomiasis, Sleeping sickness, Strongyloidiasis, Stuartbras disease, liver disease in syphilis, Toxoplasmosis, Tuberculosis, Tuberculous peritonitis, Tularemia, Whipple disease, Yellow fever virus infection

Musculoskeletal / Ortho No underlying causes
Neurologic No underlying causes
Nutritional / Metabolic

Crigler-Najjar syndrome, Dubin-Johnson syndrome, Gilbert's syndrome, Hemochromatosis, Hypoalbuminemia, Kwashiorkor, Rotor's syndrome, VLCAD deficiency, Wilson's Disease

Obstetric/Gynecologic

Meigs' syndrome, Mirror syndrome

Oncologic

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,

Opthalmologic No underlying causes
Overdose / Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary

Cor pulmonale, Lung cancer, Mesothelioma, Nephrotic syndrome, Pulmonary hypertension

Renal / Electrolyte

Hepatorenal syndrome, Nephrotic syndrome

Rheum / Immune / Allergy

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

Sexual No underlying causes
Trauma Bladder rupture
Urologic No underlying causes
Miscellaneous

Hypervolemia, Idiopathic, Metastasis, Obesity hypoventilation syndrome, POEMS syndrome

Causes in Alphabetical Order

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3

Fetal Ascites

Causes of fetal ascites include:[2]

References

  1. 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.
  2. Zelop C, Benacerraf BR (1994). "The causes and natural history of fetal ascites". Prenat. Diagn. 14 (10): 941–6. PMID 7899269. Unknown parameter |month= ignored (help)

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