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596 Possible Causes for Ascites, Cholelithiasis, Hepatomegaly

  • Portal Cirrhosis

    The presence of this triad in a patient with unexplained hepatomegaly is indicative of portal cirrhosis.[] Abstract The pathogenesis, as well as the treatment, of edema and ascites in portal cirrhosis has been a subject of utmost interest and continuous investigation.[] Such chronic gastrointestinal diseases as peptic ulcer, cirrhosis, and cholelithiasis are becoming increasingly recognized as health problems.[]

  • Liver Cirrhosis

    Cardinal symptoms include fasting hypoglycemia, lactic acidosis and hepatomegaly as well as neutropenia.[] The serum-ascites albumin gradient value of 1.9 g/dL and the total protein level in the ascites of 3.1 g/dL indicated the ascites to have been caused by portal hypertension[] […] aminotransferase, and prothrombin international normalized ratio; LR, 0.09; 95% CI, 0.03-0.31); a platelet count 160 x 10(3)/μL (LR, 0.29; 95% CI, 0.20-0.39); or the absence of hepatomegaly[]

  • Hemochromatosis

    […] transferrin saturation (TS); ALT; AST; GGT; elevated C-reactive protein; ß-thalassemia; neutrophils; lymphocytes; monocytes; platelets; metacarpophalangeal joint hypertrophy; hepatomegaly[] […] accompanied by signs of chronic liver disease, such as abdominal pain and cutaneous stigmata of liver disease (palmar erythema, spider angioma, or jaundice), and liver failure (ascites[] Eight of the 16 homozygous subjects had clinical findings that were consistent with the presence of hereditary hemochromatosis, such as hepatomegaly, skin pigmentation, and[]

  • Cardiac Cirrhosis

    Hepatomegaly Hepatomegaly is common, usually presenting as a firm, hard liver.[] RESULTS: We analyzed 20 samples of ascitic fluid from the patients of cardiac cirrhosis and compared with 48 samples of non-cirrhotic cardiac ascites.[] Postcholecystectomy syndrome Bile duct / other biliary tree Cholangitis ( PSC, Ascending ) · Cholestasis / Mirizzi's syndrome · Biliary fistula · Haemobilia · Gallstones / Cholelithiasis[]

  • Primary Biliary Cirrhosis

    The multifactorial analysis identified bilirubinemia and hepatomegaly as independent predictive variables.[] Hepatic fibrosis was not evident, in spite of the transudative ascites and active esophageal varices.[] Associations cholelithiasis ( 40%) 8 other autoimmune diseases, e.g.[]

  • Erythropoietic Protoporphyria

    Patients can also present with splenomegaly and hepatomegaly. Liver biopsy in such patients may reveal features of appreciable hepatocellular injury[ 5, 13, 22 - 24 ].[] Runyon, Management of adult patients with ascites due to cirrhosis, Hepatology, 39, 3, (841), (2004). Grzegorz Nowak, Ulf G.[] Some authors believe that EPP should be suspected when cholelithiasis presents in childhood[ 21 ].[]

  • Biliary Cirrhosis

    With a reference to the signs of PBC, the most prominent include hepatomegaly, hyperpigmentation, splenomegaly, xanthelasma and signs related to cirrhosis and end-stage liver[] A more permanent resolution of the problem of chronic ascites is surgical creation of a peritoneovenous shunt.[] In most cases, extra-hepatic cholestasis is due to cholelithiasis or neoplastic infiltration of the extra-hepatic biliary tree.[]

  • Paroxysmal Nocturnal Hemoglobinuria

    Pathological findings include systemic venous or portal thrombosis, normoblastic bone marrow hyperplasia, hepatomegaly with necrosis, hemosiderosis, and massive iron deposits[] A PVS is a treatment option for ascites due to BCS.[] […] characterized by episodes of hemolytic anemia, hemoglobinuria (chiefly at night), pallor, icterus or bronzing of the skin, a moderate degree of splenomegaly, and sometimes hepatomegaly[]

  • Gallbladder Carcinoma

    Ultrasound of the abdomen revealed hepatomegaly with thick-walled gallbladder with multiple stones and a mass at the fundus, but normal uterus and ovary.[] Secondary gallbladder involvement 56-year-old man with liver cirrhosisLEFT: US depicts wall thickening (arrow), surrounded by ascites.[] The development of a cholecystoduodenal fistula may complicate 5% of all patients with cholelithiasis.[]

  • Congenital Hepatic Fibrosis

    Hepatomegaly was present in all patients and splenomegaly in all but one.[] Ascitic fluid examination was sterile and demonstrated high serum to ascites albumin (SAAG) ratio.[] Clinical GI issues: recurrent cholangitis, portal htn, cholelithiasis, and cholangiocarcinoma. -Pediatr Transplantation 2005; 9: 634-9. -Hepatology 2004; 40: 774-82.[]

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