Isildak Mehlika, Guven Gulay-Sain, Kekilli Murat, Beyazit Yavuz, Erman Mustafa
Department of Internal Medicine, Section of General Internal Medicine, Faculty of Medicine, Hacettepe University, Sihhiye, Ankara 06100, Turkey.
World J Gastroenterol. 2005 Jul 28;11(28):4445-6. doi: 10.3748/wjg.v11.i28.4445.
Ascites is a common and debilitating complication of cirrhosis. However, patients with chronic liver disease are not spared from other causes of ascites and physicians should be careful not to miss an underlying malignancy. Ovarian cancer is an insidious disease, which is difficult to diagnose and it ranks first in mortality among all gynecological cancers. Here, we present two cases of patients with chronic liver disease that developed ascites not simply because of cirrhosis but as a manifestation of ovarian cancer. We would like to emphasize that the causes of ascites, other than the liver itself, should not be overlooked in patients with chronic liver disease.
腹水是肝硬化常见且使人虚弱的并发症。然而，慢性肝病患者也可能因其他原因出现腹水，医生应注意避免漏诊潜在的恶性肿瘤。卵巢癌是一种隐匿性疾病，难以诊断，在所有妇科癌症中死亡率居首。在此，我们报告两例慢性肝病患者，其腹水并非单纯由肝硬化引起，而是卵巢癌的一种表现。我们要强调的是，慢性肝病患者不应忽视肝脏本身以外导致腹水的原因。
