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Case report - ascites : not always the usual suspects

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By c snauwaert · 2012 · cited by 6 — urinary ascites due to spontaneous bladder rupture or fistula ... cytological analysis of ascites and pleural fluid and the normal gynaecological work-up.
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Acta Gastro-Enterologica Belgica, Vol. LXXV, January-March 2012Ascites : not always the usual suspectsC. Snauwaert, A. Geerts, I. Colle, H. Van VlierbergheDepartment of Hepatology and Gastroenterology, Ghent Universitary Hospital, Belgium.AbstractA case report of a 44-year-old woman with an infrequent causeof ascites, i.e. intraperitoneal urine leakage, is presented.Urinary ascites due to spontaneous bladder rupture or fistulaafter radiation therapy for cervical cancer is not a rare complica-tion and can develop several years after initial treatment.Diagnosis of urinary ascites should be suspected in patients withascites and a history of radiation therapy for a bladder or a gynae-cological disease.Measurement of urea and creatinine levels in urine, ascites andplasma is a simple and non-invasive diagnostic test. In physiologi-cal conditions, the ascites/plasma creatinine ratio approximates aratio of one to one. This ratio is elevated to a value of ≥ 5/1 in caseof urinary ascites.Althoug...