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Pleural Effusion I: Introduction

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Updated: Jun 23, 2025

Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients

Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients

Published on: April 18, 2025

When Ascites Is Not Ascites!

Mei Yang¹, Aboud Fahel¹, Thomas Pohlman¹

¹Internal Medicine, St. Luke's Hospital, Chesterfield, USA.

|June 24, 2024

Summary

This summary is machine-generated.

Ascites requires thorough evaluation to identify its cause. Rare splenic artery aneurysm rupture, a potentially lethal condition, should be considered in differential diagnoses for unexplained ascites.

Keywords:

aneurysm ascites embolization hemorrhagic shock ruptured splenic artery splenic artery aneurysm visceral artery visceral artery aneurysms visceral artery rupture

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Area of Science:

Vascular Surgery
Interventional Radiology
Gastroenterology

Background:

Ascites, the accumulation of fluid in the peritoneal cavity, necessitates accurate etiological diagnosis for effective management.
Common causes of ascites include cirrhosis, cancer, and heart failure, guiding initial diagnostic and therapeutic approaches.

Observation:

A patient presented with ascites, initially misdiagnosed as secondary to cirrhosis.
The clinical presentation prompted further investigation, revealing a rare cause: rupture of a splenic artery aneurysm.

Findings:

Rupture of a splenic artery aneurysm, though uncommon, can present as ascites and is a life-threatening emergency.
Interdisciplinary collaboration, particularly involving interventional radiology, was crucial for correct diagnosis and timely intervention.

Implications:

Considering rare visceral artery ruptures in the differential diagnosis of ascites can prevent diagnostic delays and improve patient outcomes.
Prompt identification and management of splenic artery aneurysm rupture are critical to avert severe complications, including mortality.