CASE 376: UREMIC ASCITES, Dr PHAN THANH HẢI- Dr VĨNH PHÚC- Dr JASMINE THANH XUÂN

Woman 30 yo with  total colectomy by  colon poliposis for   2 years ; one month ago  she  detected  ascites unknown origine at MEDIC [19, April]. Ultrasound   showed that high volume ascites, normal liver and.kidney (see 4 pictures ultrasound).

CT of abdomen with CE also cannot detected the cause of ascites;  she underwent laparoscopic biopsy of  peritoneum and report was non specific chronic inflamation.

One week  later  [ 25,April, 2016] she got acute abdomen pain..and  came to MEDIC again.

CT of abdomen with CE detected  left kidney  hydronephrosis 2nd degree and one mass  of 5 cm in retroperitoneum  near  abdominal aorta bifurcation obstructed left ureter loodk like   urinoma (see  CT 1 and  ultrasound images of this mass(see US 2).

Abdominal tap removed  pink  ascites fluid and analysis report= ADA negative,  high protein, normal amylase, urea= 36.04mg/dL, creatinine  3.2 mg/mL (normal <1mg/ml).

Summary of this case:  ascites  with CT and ultrasound detected  urinoma and high creatinin in ascites that proved an uremic ascites.
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