An Unusual Cause of Abdominal Ascites

Abdominal ascites is most commonly caused by portal hypertension from liver cirrhosis. When present, portal hypertension is associated with an elevated serum-ascites albumin gradient (SAAG) ≥1.1 g/dL. In contrast, a SAAG < 1.1 g/dL suggests malignancy, tuberculosis, pancreatitis, or nephrotic syn...

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Bibliographic Details
Published in:Case reports in gastroenterology 2018-05, Vol.12 (2), p.420-424
Main Authors: Wong, Kimberly A., Olson, Kristin A., Chak, Eric W.
Format: Article
Language:English
Subjects:
Ascites
Liver
Mesothelioma
Single Case
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Summary:Abdominal ascites is most commonly caused by portal hypertension from liver cirrhosis. When present, portal hypertension is associated with an elevated serum-ascites albumin gradient (SAAG) ≥1.1 g/dL. In contrast, a SAAG < 1.1 g/dL suggests malignancy, tuberculosis, pancreatitis, or nephrotic syndrome. Here, we present a case of low SAAG ascites caused by epithelioid peritoneal mesothelioma in a woman with no known liver disease. The diagnosis proved elusive until diagnostic laparoscopy with biopsy was performed.
ISSN:1662-0631
1662-0631
DOI:10.1159/000490660