DOI: 10.36347/SJMCR.2019.v07i11.010

Pages: 680-682

Hairy cell leukaemia is a blood neoplasm that represents approximately 2% of all lymphoid leukaemias. When present, symptoms include asthenia, abdominal pain, and unintended weight loss. We present the case of a 90-year-old male patient with a history of hairy cell leukaemia variant that went to the Emergency Room due to an increase in abdominal size and swelling of the lower limbs. He was admitted to the Internal Medicine Department for study and compensation of ascites condition. Undeniably, the most common cause for ascites is portal hypertension related to liver cirrhosis. However, there are malignant and/or infectious causes that should always be ruled out. In the case presented, after ruling out the most common causes for ascites, it was determined that the ascites was secondary to hairy cell leukaemia, despite generally presenting an indolent course.