Why exudative ascites in Budd Chiari syndrome?
Why exudative ascites in Budd Chiari syndrome?
The condition is caused by occlusion of the hepatic veins that drain the liver. It presents with the classical triad of abdominal pain, ascites, and liver enlargement. The formation of a blood clot within the hepatic veins can lead to Budd–Chiari syndrome. The syndrome can be fulminant, acute, chronic, or asymptomatic.
What are the different types of ascites?
Traditionally, ascites is divided into 2 types; transudative or exudative. This classification is based on the amount of protein found in the fluid. A more useful system has been developed based on the amount of albumin in the ascitic fluid compared to the serum albumin (albumin measured in the blood).
How do ascites differ from exudate and transudate?
Another way of differentiating between an exudate and a transudate is to assess the ascitic fluid’s lactate dehydrogenase (LDH) level:
- LDH <225 U/L = transudate.
- LDH > 225U/ L = exudate.
Why does polycythemia vera cause Budd Chiari?
Its most frequent cause is polycythemia vera, a condition seen in around 10% to 40% of the diagnosed cases (1). Budd-Chiari syndrome is due to the obstruction of the hepatic efferent outflow tract from either the hepatic veins to where the inferior vena cava meets the right atrium.
What is exudate ascites?
Exudate ascites is defined as ascites with a protein content of greater than 3g protein per 100ml of fluid. Possible causes of exudate ascites include: malignant disease. pyogenic infection. tuberculosis.
Does Budd-Chiari cause cirrhosis?
Chronic Budd–Chiari syndrome (BCS) is a rare cause of liver cirrhosis (LC) and tends to be misdiagnosed in clinical practice.
What is ascites in cirrhosis?
Ascites is the accumulation of ascitic fluid in the peritoneal cavity. Many diseases can cause ascites, but the most common is portal hypertension, which is usually due to cirrhosis. Ascites does not typically become clinically detectable until there are at least 500mLs of fluid present. If large amounts of fluid accumulate,…
How is fluid analysis done for ascites?
Analysis of ascitic fluid can help determine the underlying cause and identify signs of infection. A sample of fluid is typically obtained using a needle and syringe (known as an “ascitic tap” or “paracentesis”) and sent for analysis. Clinical features of ascites Typical clinical features of ascites include:
What is the meaning of chylous ascites?
Subtypes and variants. Chylous ascites Definition: collection of lymph in the abdominal cavity, which is characteristically triglyceride-rich and has a milky appearance. Etiology: malignancy (e.g., lymphoma), hepatic cirrhosis, or other lymph disorders (e.g., lymphatic hyperplasia) which result in increased lymph production.
What are the cut off values for ascitic fluid?
The cut-off values for three parameters in the ascitic fluid for differentiation between hepatic and non-hepatic ascites are, as follows: LDH of 400 SU, fluid/serum LDH ratio of 0.6, and fluid/serum total protein (TP) ratio of 0.5.
