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Patient with Cirrhosis of the liver with Ascites Two years after, the patient present with severe ascites The mechanism by which ascites develops in cirrhosis is multifactorial Severe sinusoidal portal hypertension and hepatic...

Cirrhosis of the liver with Ascites There are evidences that arterial vasodilation in cirrhosis occurs in the splanchnic circulation and is related to anincreased synthesis of local vasodilators. Vascular resistance is normal...

The rapid and high inflow of arterial blood into the splanchnic microcirculation is the main factor increasing hydrostatic pressure in the splanchnic capillaries leading to an excessive production of splanchnic lymph over lymphatic...

Umbilical Hernia with Ascites Umbilical hernia is a common finding in cirrhotic patients with ascites. Spontaneous disruption of the hernia and attendant discharge of ascitic fluid is an unusual and rarely reported complication...

Pathogenesis of ascites in cirrhosis Renal function abnormalities Sodium Retention The impairment in the renal ability to excrete sodium is the earliest renal dysfunction in cirrhosis. Before the development of ascites, when...

The kidney is continuously generating free water in the ascending limb of the loop of Hente by a mechanism consisting in an active reabsorption of sodium chloride without a concomitant reabsorption of water. The final volume free...