Ascites is the most common complication of cirrhosis, and about 60% of patients with cirrhosis of the liver develop ascites within 10 years. In as much as two thirds of patients admitted with cirrhosis, ascites is usually observed. High portal pressur...
Ascites is the most common complication of cirrhosis, and about 60% of patients with cirrhosis of the liver develop ascites within 10 years. In as much as two thirds of patients admitted with cirrhosis, ascites is usually observed. High portal pressure and increased hydrostatic pressure result in transudation of fluid into the peritoneal cavity. Hypoalbuminemia leading to reduced intravascular oncotic pressure and altered neurohormonal signaling with concomitant vascular response enhance the formation of ascites. The proper management of ascites starts with an appropriate differential diagnosis of the underlying cause. We will look at the general management of patients with ascites in this review.