Ascites: not always the usual suspects

作者：Snauwaert C^*; Geerts A; Colle I; Van Vlierberghe H

来源：Acta Gastro Enterologica Belgica, 2012, 75(1): 45-48.

• ascites
• cirrhosis
• bladder leakage
• radiotherapy
• radiation cystitis

A case report of a 44-year-old woman with an infrequent cause of ascites, i.e. intraperitoneal urine leakage, is presented. %26lt;br%26gt;Urinary ascites due to spontaneous bladder rupture or fistula after radiation therapy for cervical cancer is not a rare complication and can develop several years after initial treatment. %26lt;br%26gt;Diagnosis of urinary ascites should be suspected in patients with ascites and a history of radiation therapy for a bladder or a gynaecological disease. %26lt;br%26gt;Measurement of urea and creatinine levels in urine, ascites and plasma is a simple and non-invasive diagnostic test. In physiological conditions, the ascites/plasma creatinine ratio approximates a ratio of one to one. This ratio is elevated to a value of %26gt;= 5/1 in case of urinary ascites. %26lt;br%26gt;Although cystoscopy and imaging techniques such as cystography and computed tomography (with or without cystography) are extremely helpful, definitive diagnosis is frequently based on intra-operative findings, because of the lack of pathognomonic symptoms or signs. %26lt;br%26gt;Surgery is the treatment of choice. (Acta gastroenterol belg, 2012, 75, 45-48).

• 出版日期2012-3