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A 59-year-old woman with the Budd–Chiari syndrome was admitted for increasing abdominal distention, abdominal pain, and vomiting during a period of 8 weeks. She had normal renal function and had never received dialysis. Examination of the ascites revealed a total protein level of 4.9 g per deciliter, a serum–ascites albumin gradient of 0.6 g per deciliter, and no bacterial growth in the culture. Contrast-enhanced computed tomography of the abdomen showed a large amount of ascites and a thick membrane surrounding the bowel. Her condition was diagnosed as recurrent ascites associated with the Budd–Chiari syndrome with partial obstruction of the small . . . [Full Text of this Article] |
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