Causes of symptoms of ascites

summary

Ascites refers to the excessive accumulation of free fluid in the abdominal cavity, which is a sign rather than a disease. Ascites is defined as ascites when the volume of peritoneal fluid exceeds 200ml in any pathological state. There are many causes of ascites, such as cardiovascular disease, liver disease, peritoneal disease, kidney disease, nutritional disorders, peritoneal metastasis of malignant tumor, ovarian tumor, connective tissue disease and so on. In addition to imaging examination, the quantitative diagnosis of ascites is mainly based on abdominal percussion: when ascites reaches 500ml, it can be confirmed by elbow and knee percussion; Ascites of more than 1000 ml can cause mobile voiced sound. When there is a large amount of ascites, the flank of both sides bulges, such as frog's abdomen; A small amount of ascites can only be detected by ultrasonography. The symptom cause of ascites tells everybody.

Causes of symptoms of ascites

1. Liver disease, cirrhosis, fulminant liver failure, primary liver cancer.

2. Cardiovascular disease, chronic congestive right heart failure, pericarditis (exudative, constrictive), myocardial disease (congestive, restrictive), tuberculosis type Keshan disease, Budd Chiari syndrome [hepatic vein and / or inferior vena cava obstruction], hepatic veno occlusive disease, portal vein obstruction (cavernous degeneration of portal vein, portal vein thrombosis, portal vein external pressure obstruction).

3. Peritoneal malignant tumor primary: mesothelioma, secondary: peritoneal metastasis.

matters needing attention

Intrahepatic portosystemic shunt (TIPS) via jugular vein can be used in patients with refractory ascites and poor liver function, which can significantly relieve ascites in the near future. The chemotherapy pump can be implanted subcutaneously for multiple injections.