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Ascites

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DefinitionAscites is the buildup of fluid inside the peritoneal cavity. It occurs when fluid moves out of the vascular system faster than the peritoneal lymphatics can remove it. This fluid shift is most commonly seen in liver cirrhosis but can also appear in several other systemic disorders.EtiologyCirrhosis remains the leading cause of ascites. Other conditions that can contribute include:Heart failureConstrictive pericarditisAbdominal cancersNephrotic syndromeSevere protein–calorie...

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Related Experiment Video

Updated: Apr 19, 2026

Extrahepatic Bile Duct and Gall Bladder Dissection in Nine-Day-Old Mouse Neonates

Extrahepatic Bile Duct and Gall Bladder Dissection in Nine-Day-Old Mouse Neonates

Published on: August 23, 2022

An infant with biliary ascites.

Anjum Saeed¹, Mohammed El Mouzan², Asaad Assiri¹

¹Prince Abdullah Bin Khalid Celiac Disease Research Chair, King Khalid University Hospital, King Saud University, Riyadh, KSA.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

|December 19, 2014

Summary

Biliary ascites in children, a rare condition from bile duct perforation, presents insidiously with jaundice and abdominal distension. This case report details an infant

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Area of Science:

Pediatric Gastroenterology
Hepatology
Surgical Pediatrics

Background:

Biliary ascites in children is rare, with unknown exact pathogenesis.
Proposed mechanisms include congenital ductal weakness, pancreaticobiliary malunion, tuberculosis, necrotizing enterocolitis, and choledochal cyst rupture.

Observation:

Presents acutely or sub-acutely, often insidiously in children.
Common symptoms include jaundice, clay-colored stools, abdominal distension, elevated liver enzymes, and cholestasis.

Findings:

Diagnosis aided by clinical suspicion, ultrasound, CT, MRCP, and ascitic fluid analysis.
This report details a 7-month-old infant with biliary ascites due to bile duct perforation.

Implications:

Highlights the importance of considering bile duct perforation in pediatric biliary ascites.
Management involves both conservative and surgical approaches.
Contributes to understanding rare pediatric hepatobiliary emergencies.