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...
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....
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...
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...
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...
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...
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