Ascites

Ascites is derived from a greek word 'askos' which refers to a bag or sac. It can be defined as pathological accumulation of fluid within the peritoneal cavity.

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Epidemiology

Cirrhosis is the most common manifestation of hepatic decompensation and 85% of ascites occur in the setting of cirrhosis. On an average 50% of patients with cirrhosis will develop ascites within 10 yrs.

Causes of Ascites

  • Cirrhosis- 85%
  • Miscellaneous Portal hypertension (PHT) related- 8%
  • Cardiac ascites- 3%
  • Peritoneal carcinomatosis- 2%
  • Miscellaneous non PHT related- 2%


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