Diagnosis and course of nephrogenic ascites.
Nephrogenic ascites is a complex diagnostic problem with poorly understood pathophysiology. Morbidity and eventual mortality from this ongoing problem are significant. The diagnosis of nephrogenic ascites must be established by exclusion. We report the cases of nine patients investigated between 1978 and 1985. Laparoscopy, which was utilized in all nine patients, led to a specific diagnosis in two. We believe that a vigorous diagnostic evaluation, including laparoscopy, is essential in patients with chronic renal failure who develop persistent ascites.
Mauk
P M
PM
Department of Medicine, Veterans Administration Medical Center, Houston, TX 77030.
Schwartz
J T
JT
Lowe
J E
JE
Smith
J L
JL
Graham
D Y
DY
D000328:Adult; D001201:Ascites / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003131:Combined Modality Therapy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D010535:Laparoscopy; D008104:Liver Cirrhosis, Alcoholic / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis; D014395:Peritonitis, Tuberculous / Q000175:diagnosis; D006435:Renal Dialysis