Ascites causes

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Ascites Microchapters

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Pathophysiology

Causes

Differentiating Ascites from other Diseases

Epidemiology and Demographics

Risk Factors

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Natural History, Complications and Prognosis

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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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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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