title: Ascites due to right atrial myxoma in a haemodialysis patient.
abstract: BACKGROUND
  Persistent fluid overload in patients on renal replacement therapy despite good dialysis adequacy or obvious cardiac dysfunction should prompt a search for rarer causes.
  
  
  METHODS
  We report here a rare cause of persistent peripheral oedema and ascites in a well-dialysed patient. CT scanning revealed a right atrial myxoma that was later confirmed on an echocardiogram.
  
  
  CONCLUSIONS
  Fluid overload states are common in patients on dialysis. Common causes are inadequacy of dialysis and non-compliance. Where aetiology is not easily apparent further investigations into rarer causes should be sought.
authors.affiliation: University College London, Centre for Nephrology, Royal Free Hospital, London, UK. anindya.banerjee2@nhs.net
authors.forename: Anindya
authors.initials: A
authors.lastname: Banerjee
authors.forename: Andrew
authors.initials: A
authors.lastname: Davenport
mesh_terms: D000368:Aged; D001201:Ascites / Q000175:diagnosis* / Q000209:etiology; D006325:Heart Atria / Q000473:pathology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008297:Male; D009232:Myxoma / Q000150:complications / Q000175:diagnosis*; D006435:Renal Dialysis / Q000009:adverse effects