Hemorrhagic ascites as a complication of heart failure: A case report and review of the literature.
Journal
Medicine
ISSN: 1536-5964
Titre abrégé: Medicine (Baltimore)
Pays: United States
ID NLM: 2985248R
Informations de publication
Date de publication:
23 Sep 2022
23 Sep 2022
Historique:
entrez:
5
10
2022
pubmed:
6
10
2022
medline:
12
10
2022
Statut:
ppublish
Résumé
Although ascites is a common complication of congestive heart failure, the association between heart failure and hemorrhagic ascites is quite rare. A 64-year-old woman with recurrent large bloody ascites secondary to heart failure. Ascitic fluid assessment revealed red blood cells of 75,125/mm3 and white blood cells of 225/mm3. The total protein in the ascitic fluid was 28.7 g/L, with a high serum ascites albumin gradient. Peritoneal fluid examinations for bacterial culture, acid-fast bacilli (smear and culture), and malignant cell cytology were negative. The patient was managed with therapeutic paracentesis, aggressive diuresis, and optimization of her heart failure medications. The patient's symptoms improved dramatically and was discharged in a stable condition. Congestive heart failure should be considered as a potential cause of hemorrhagic ascites after ruling out other serious causes.
Identifiants
pubmed: 36197224
doi: 10.1097/MD.0000000000030708
pii: 00005792-202209230-00070
pmc: PMC9509129
doi:
Substances chimiques
Albumins
0
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e30708Informations de copyright
Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.
Déclaration de conflit d'intérêts
The authors have no conflicts of interest to disclose.
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