title: [Non-cirrhotic ascites: pathophysiology, diagnosis and etiology].
abstract: Ascites, in 20% of cases, is not linked to liver cirrhosis. The pathophysiology is most often different. The understanding of these pathophysiological mechanisms can lead to etiologic diagnosis. The diagnostic approach is mainly based on the biological study of ascites, especially protein concentration and albumin gradient between serum and ascites. In Western countries, tumors and heart diseases are the predominant causes, while developing countries are mainly concerned by infectious diseases, among which tuberculosis is the leading cause. Other uncommon causes must be recognized, as ascites may be the presenting feature of the disease. Their knowledge will facilitate the therapeutic approach.
authors.affiliation: Service d'hépato-gastroentérologie, CHU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France. Electronic address: pcarrier@hotmail.fr.
authors.forename: P
authors.initials: P
authors.lastname: Carrier
authors.affiliation: Service d'hépato-gastroentérologie, CHU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France.
authors.forename: J
authors.initials: J
authors.lastname: Jacques
authors.affiliation: Service d'hépato-gastroentérologie, CHU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France.
authors.forename: M
authors.initials: M
authors.lastname: Debette-Gratien
authors.affiliation: Service d'hépato-gastroentérologie, CHU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France.
authors.forename: R
authors.initials: R
authors.lastname: Legros
authors.affiliation: Service d'hépato-gastroentérologie, CHU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France.
authors.forename: M
authors.initials: M
authors.lastname: Sarabi
authors.affiliation: Service de médecine Interne A, CHU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France.
authors.forename: E
authors.initials: E
authors.lastname: Vidal
authors.affiliation: Service d'hépato-gastroentérologie, CHU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France.
authors.forename: D
authors.initials: D
authors.lastname: Sautereau
authors.affiliation: Service de médecine Interne A, CHU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France.
authors.forename: H
authors.initials: H
authors.lastname: Bezanahary
authors.affiliation: Service de médecine Interne A, CHU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France.
authors.forename: K H
authors.initials: KH
authors.lastname: Ly
authors.affiliation: Service d'hépato-gastroentérologie, CHU de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges, France; Inserm UMR 1092, faculté de médecine, université Limoges, 2, rue du Docteur-Marcland, 87025 Limoges cedex, France.
authors.forename: V
authors.initials: V
authors.lastname: Loustaud-Ratti
mesh_terms: D001201:Ascites / Q000175:diagnosis* / Q000209:etiology* / Q000503:physiopathology; D003317:Corneal Dystrophies, Hereditary / Q000150:complications; D003638:Deafness / Q000150:complications; D004715:Endometriosis / Q000150:complications; D004802:Eosinophilia / Q000150:complications; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000150:complications; D017490:Ichthyosis, Lamellar / Q000150:complications; D007239:Infections / Q000150:complications; D008107:Liver Diseases / Q000150:complications; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D044342:Malnutrition / Q000150:complications; D009369:Neoplasms / Q000150:complications; D009404:Nephrotic Syndrome / Q000150:complications; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications; D011504:Protein-Losing Enteropathies / Q000150:complications; D011878:Radiotherapy / Q000009:adverse effects; D012709:Serum Albumin / Q000032:analysis; D018497:Ventricular Dysfunction, Right / Q000150:complications
chemical_list: D012709:Serum Albumin
keywords: Ascite; Ascites; Cancer; Gradient sérum-ascite d’albumine; Ponction; Puncture; Serum-ascites albumine gradient; Tuberculose; Tuberculosis