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February 9, 1976

Ascites Secondary to Transudation From A Renal Cadaveric Transplant

Author Affiliations

From the Department of Nephrology and Pathology, Victoria Hospital, London, Ontario.

JAMA. 1976;235(6):635. doi:10.1001/jama.1976.03260320043025

IDIOPATHIC ascites is not an uncommon complication of long-term intermittent hemodialysis,1 but ascites secondary to renal fluid transudation is extremely unusual. We report a case of massive ascites that appears to be secondary to transudation from a cadaveric renal graft.

Report of a Case  A 46-year-old woman who had been treated by hemodialysis since 1968 for chronic renal failure secondary to glomerulonephritis received a cadaveric renal transplant in her right iliac fossa on Dec 16, 1971. She was then observed as an outpatient and admitted to the hospital for open reduction and internal fixation of an intratrochanteric fracture of the right hip in June 1972 and for the treatment of a urinary tract infection in July 1974.On Aug 6, 1974, the patient was readmitted to the hospital complaining of a painless, diffuse abdominal swelling and a 3.6-kg (8-1b) weight gain over the past seven to ten days. Her