Case presentations

April 2005
Gut;Apr2005 Supplement 2, Vol. 54, pA30
Academic Journal
The article presents information on abstracts related to human biology. An abstract sheds light on an unusual cause of ascites in a patient with alcohol liver disease. A 57 year old male who had worked as a thermal insulator engineer, initially presented with abnormal liver function tests and a history of heavy alcohol use. Abdominal U/S showed fatty infiltration of the liver. Blood investigations for causes of chronic liver disease were all negative. He was advised about his alcohol intake but failed to attend follow up appointments. Seven years later he developed ascites, which was exudative. Investigations including CXR, endoscopy, colonoscopy, U/S, and CT abdomen were normal. His ascites was successfully managed with diuretic therapy. Seven months later he was readmitted with abdominal pain and recurrence of ascites. Repeat CT showed dense soft tissue material, just deep to the anterior abdominal wall and primarily related to the peritoneum and mesentery.


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