Ascitis masiva:presentación de un caso

  1. Mora-Delgado, Juan 1
  2. Jiménez-Arjona, Josefa 1
  3. Marín-Dueñas, Daniel 1
  4. Michan-Doña, Alfredo 1
  1. 1 Servicio de Medicina Interna, Hospital Universitario de Jerez de la Frontera, Jerez de la Frontera (Cádiz), España
Revista:
Revista Española de Casos Clínicos en Medicina Interna (RECCMI)

ISSN: 2530-0792

Ano de publicación: 2019

Título do exemplar: Spanish Journal of Case Records in Internal Medicine

Volume: 4

Número: 3

Páxinas: 103-106

Tipo: Artigo

DOI: 10.32818/RECCMI.A4N3A2 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Revista Española de Casos Clínicos en Medicina Interna (RECCMI)

Resumo

Massive ascites of unknown origin is a rare condition with a wide differential diagnosis, so our goal is to illustrate the diagnostic process performed to achieve it in an orderly and logical way. Specifically, our patient is a young woman without a history of interest with ascites of slow progression until becoming massive and refractory to medical treatment, requiring the performance of various complementary tests that finally led to a laparoscopic approach to obtain the etiological diagnosis, being secondary to a giant splenic pseudocyst secondary to cavernous hemangioma with reactive mesothelial hyperplasia.

Referencias bibliográficas

  • Ward PC. Interpretation of ascitic fluid data. Postgrad Med. 1982; 71(2): 171-173, 176-178. doi: https://doi.org/10.1080/00325481.1982.11715995.
  • Yuan SM. Massive ascites of unknown origin. Int J Clin Exp Med. 2014; 15(2): 435-442.
  • Han CM, Lee CL, Huang KG, Chu CM, Lin SM, Wang CJ, et al. Diagnostic laparoscopy in ascites of unknown origin: Chang Gung Memorial Hospital 20-year experience. Chang Gung Med J. 2008; 31(4): 378-383.
  • Hou W, Sanyal AJ. Ascites: diagnosis and management. Med Clin North Am. 2009; 93(4): 801-817, vii. doi: https://doi.org/10.1016/j.mcna.2009.03.007.
  • Gordon FD. Ascites. Clin Liver Dis. 2012; 16(2): 285-299. doi: https://doi.org/10.1016/j.cld.2012.03.004.
  • Oey RC, van Buuren HR, de Man RA. The diagnostic work-up in patients with ascites: current guidelines and future prospects. Neth J Med. 2016; 74(8): 330-335.
  • Kodan P, Shetty MA, Pavan MR, Kariappa A, Mahabala C. Acute eosinophilic ascites: an unusual form of an unusual case. Trop Doct. 2015; 45(1): 39-41. doi: https://doi.org/10.1177/0049475514553829.
  • Apea-Kubi KA. Massive ascites secondary to ovarian schistosomiasis. Int J Gynaecol Obstet. 2004; 87(1): 50-51. doi: https://doi.org/10.1016/j.ijgo.2004.06.013.
  • Aljebreen AM, Al-Mogairen SA. Refractory ascites as the first presentation of systemic lupus erythematosus. Arab J Gastroenterol. 2014; 15(3-4): 161-162. doi: https://doi.org/10.1016/j.ajg.2014.01.001.
  • Thipphavong S, Duigenan S, Schindera ST, Gee MS, Philips S. Non neoplastic, benign, and malignant splenic diseases: cross-sectional imaging findings and rare disease entities. AJR Am J Roentgenol. 2014; 203(2): 315-322. doi: https://doi.org/10.2214/AJR.13.11777.