Ascites

Last updated: Thursday, 11, November, 2010
CausesAppropriate Tests

Clinical assessment of likely cause; peritoneal fluid examination may be indicated if cause uncertain or infection suspected.

CA 125 may be elevated in any peritoneal disease and is not specific for ovarian cancer.

Neoplasia, especially

  • Hepatic metastases
  • Peritoneal metastases
  • Meig's syndrome
  • Gastrointestinal tract carcinoma¬†

Gastric biopsy, colorectal biopsy.

  • Pancreatic carcinoma¬†

See under Pancreatic neoplasm.

Hypoalbuminaemia

Portal hypertension

Peritonitis, especially

Primary peritonitis, especially in alcoholics, may present with few symptoms and signs of inflammation.

  • Pyogenic infection