[Nephrogenic ascites: an exceptional diagnosis. About one case].
BACKGROUND
Nephrogenic ascites is a clinical entity that manifests as refractory and exsudative ascites with unknown etiology in patients with end stage renal disease and often undergoing hemodialysis. This entity presents in practice many diagnostic and therapeutic difficulties.


OBJECTIVE
The aim of this study is to focus on these difficulties through a new observation.


METHODS
We report one case of nephrogenic ascites in chronic renal failure related to an idiopathic neurologic bladder. It's a 38 years old patient on hemodialysis for three years who consulted for exsudative ascites with a low rate of leucocytes.


CONCLUSIONS
We conclude that nephrogenic ascites is rare. Its diagnosis is an exclusion diagnosis based on exclusion of other causes of ascites, particularly exsudative forms with low leucocytes rate. Its management is based essentially on renal transplantation and its prognosis is very poor.
Service de Gastroentérologie, Hôpital Charles Nicolle, Tunis.
Radhouan
R
Debbeche
Haifa
H
Mekki
Fatma
F
Houissa
Amel
A
Moussa
Slim
S
Bouzaidi
Senda
S
Trabelsi
Yosra
Y
Said
Leila
L
Mouelhi
Mohamed
M
Salem
Taoufik
T
Najjar
D000328:Adult; D001201:Ascites / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male