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July 1988

Diagnosis and Course of Nephrogenic Ascites

Author Affiliations

From the Digestive Disease Section, Department of Medicine, Veterans Administration (VA) Medical Center and Baylor College of Medicine, Houston. Dr Lowe is now in private practice in Ogden, Utah.

Arch Intern Med. 1988;148(7):1577-1579. doi:10.1001/archinte.1988.00380070075018

• Nephrogenic ascites is a complex diagnostic problem with poorly understood pathophysiology. Morbidity and eventual mortality from this ongoing problem are significant. The diagnosis of nephrogenic ascites must be established by exclusion. We report the cases of nine patients investigated between 1978 and 1985. Laparoscopy, which was utilized in all nine patients, led to a specific diagnosis in two. We believe that a vigorous diagnostic evaluation, including laparoscopy, is essential in patients with chronic renal failure who develop persistent ascites.

(Arch Intern Med 1988;148:1577-1579)

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