Elloumi Hela, Arfaoui Dalenda, Zayane Ahlem, Ajmi Salem
Service de Gastroentérologie, Hôpital Universitaire Sahloul, 4011 Sousse, Tunisie.
Ann Med Interne (Paris). 2002 Nov;153(7):478-80.
Nephrogenic ascites is a clinical diagnosis defined as a refractory ascites in patients with end-stage renal disease. The exact cause of ascites formation is unknown. Patients frequently present with moderate to massive ascites and cachexia. The ascitic fluid is an exudate. The diagnosis is one established only by exclusion of the others causes of exudative ascites. Only continuous ambulatory peritoneal dialysis and renal transplantation appear to be effective in controlling ascites formation. The prognosis is dismal. We described here one patient case with nephrogenic ascites and review of the literature.
肾源性腹水是一种临床诊断,定义为终末期肾病患者出现的难治性腹水。腹水形成的确切原因尚不清楚。患者常表现为中度至大量腹水和恶病质。腹水为渗出液。该诊断仅通过排除其他渗出性腹水病因来确立。只有持续非卧床腹膜透析和肾移植似乎对控制腹水形成有效。预后不佳。我们在此描述一例肾源性腹水患者病例并复习相关文献。