Neprhogenic ascites: A case of poorly unstated syndrome

Monali Rajendra kumar Sahu, Tanvi Dilip Wairagade, Sonali Dilip Wairagade, Ranjit S. Ambad, Nand kishor Bankar

Midas Multispeciality Hospital, Nagpur, Maharashtra, India

ABSTRACT

Nephrogenic ascites is a controversial and very rare entity; it was described for the first time in 1970.It is often described as an antites of ascites in patients undergoing renal transplant therapy with end-stage renal disease (ESRD). This condition is thought to be multifactorial in origin resulting from including amalgamation of malnutrition, inadequate dialysis and ultra-filtration with resultant uraemia and increased peritoneal membrane permeability. Prognosis is often grave particularly if timely diagnosis is not done with ensuing treatment. We are talking about the story of a 40-year-old man with no medical history who once reported to us the discomfort, nausea and vomiting that lasted for two days. He was found to have multiple ascites. A diagnostic paracentesis was performed and it was revealed that the patient had Hepatic, cardiovascular, infectious and dangerous causes of ascites were not excluded after a thorough examination. The cause of ascites was determined to be phrogenic. Patient showed excellent renal recovery and disappearance of ascites which makes this case quite unusual given the setting of absence of chronic disease of kidney as well as liver.

Keywords:

Nephrogenic ascites, End-stage renal disease, Haemodialysis, Acute Kidney Injury (AKI)