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[Etiology of ascites in 165 children]

Yong Wang1, Sheng-Hua Wan1, Chun-Lei Zhan1

  • 1Department of Gastroenterology, Jiangxi Children's Hospital, Nanchang 330000, China.

Zhongguo Dang Dai Er Ke Za Zhi = Chinese Journal of Contemporary Pediatrics
|May 9, 2022
PubMed

Insights

Common causes of pediatric ascites include surgical acute abdomen, infections, and neoplastic diseases. Etiology varies by age group, impacting diagnosis and treatment strategies for children with ascites.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Pediatrics
  • Etiology of Ascites

Background:

  • Ascites in children presents a diagnostic challenge with diverse underlying causes.
  • Understanding the etiological spectrum is crucial for timely and effective management.

Purpose of the Study:

  • To investigate the causes and clinical characteristics of ascites in pediatric patients.
  • To establish a diagnostic and therapeutic basis for childhood ascites.

Main Methods:

  • Retrospective review of medical data from 165 children diagnosed with ascites.
  • Data collected from January 1, 2010, to December 31, 2019.

Main Results:

  • Surgical acute abdomen and infectious diseases were the most frequent causes (23.6% each), followed by neoplastic diseases (16.4%).
  • Etiology varied significantly by age: surgical acute abdomen and hepatogenic diseases predominated in infants, neoplastic disease in young children, and infectious diseases in adolescents.
  • The male to female ratio was 1.53:1, with a mean age of onset of 6 years.

Conclusions:

  • Surgical acute abdomen, infectious diseases, neoplastic diseases, and hepatogenic diseases are primary contributors to pediatric ascites.
  • Age-specific etiological patterns necessitate tailored diagnostic and treatment approaches for children with ascites.
Abstract

Keywords:
AscitesChildEtiology

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