DOI: 10.36347/sjmcr.2020.v08i02.026

Pages: 198-200

Nephnogenlc ascites is a rare condition characterized by the presence of massive ascites in patients with end stage renal disease (ESRD). Although the pathogenesis remains poorly understood, several factors have been considered. Nephrogenic ascites is associated with a grave prognosis, especially if treatment is not institued. Treatment options are limited, of those kidney transplant seems to be the most effective, however, special attention should be paid to intensive hemodialysis. Through this observation, we study clinicopathological and therapeutic features of this pathology. We report one case of a 64 years old patient with a past medical history of arterial hypertension, followed for a chronic renal failure undergoing hemodialysis for two years. Diagnostic paracentesis was done and found to be exudative. After detailed workup, hepatic, cardiac, infectious and malignant causes for ascites were ruled out. The diagnosis of ascites of nephrogenic origin was made. The patient has been treated conservatively with salt/fluid restriction and intensive hemodialysis with ultrafiltration which was very successful in our case.