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This study found that tumorous diseases, liver cirrhosis, and heart failure were the most frequent causes of ascites, with an obscure cause in 9.3% of patients, particularly young women, suggesting an ovarian factor.
Abstract
In 15,645 consecutive ultrasound examinations of the abdomen (1986 to 1988), free fluid in the peritoneal cavity was found in 247 patients by internal trial during 397 sessions (= 2.5%). Most frequent basic diagnosis for the reason of this symptom were tumorous diseases (99 patients corresponding to 40.1%), cirrhosis of the liver (52 patients corresp. to 22.1%) and heart failure (31 patients corresp. to 12.6%, among these complex gayprooft myocardial insufficiency 24, right heart failure 7). Ovarian cysts or cystomas (7), acute/chronic-recurrent pancreatitis (6), Crohn's disease (3), infections (3), rheumatoid disorders (3), nephrotic syndrome (2), and extra-uterine pregnancy (2) were more rarely represented. In 23 patients (corresp. to 9.3%) the cause of an ascites remained obscure. Among these, a high prevalence of the female sex in the premenopausal age was remarkable with a score of 20:3 (statistically significant difference in terms of the other patients of our group). This observation suggests that an ovarian factor plays a role in the development of ascites in the absence of other evident causes. The literature implies that endometriosis is rather prominent, followed by oligosymptomatic infections or inflammatory diseases.
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DOI: 10.1055/s-2007-1005290
© Georg Thieme Verlag Stuttgart · New York
Der kryptogenetische Aszites
Originäre pathophysiologische Erklärungsversuche eines monomorphen sonographischen BefundmustersAscites of Unknown Origin. Attempts at a Pathophysiological Explanation of a Monomorphic Sonographic PatternPublication History
1991
1992
Publication Date:
07 March 2008 (online)
Zusammenfassung
Unter 15 645 aufeinanderfolgenden abdominellen Ultraschalluntersuchungen (1986 bis 1988) aus internistischer Indikation wurde bei 247 Patienten in 397 Sitzungen (entsprechend 2,5 % der Untersuchungen) freie intraperitoneale Flüssigkeit gefunden. Zur Ätiologie dieses Symptoms standen im Vordergrund tumoröse Grunderkrankungen (99 Patienten entspr. 40,1 %), die Leberzirrhose (52 Patienten entspr. 22,1 %) und die Herzinsuffizienz (31 Patienten entspr. 12,6%, davon Globalinsuffizienz 24, Rechtsinsuffizienz 7). Seltener waren vertreten Ovarialzysten bzw. -kystome (7), akute/chronisch-rezidivierende Pankreatitis (6), M. Crohn (3), Infektionen (3), Kollagenosen (3), nephrotisches Syndrom (2) und extrauterine Gravidität (2). Die bei 23 Patienten (entspr. 9,3 %) mit unklarer Ursache eines Aszites beobachtete hohe Prävalenz des weiblichen Geschlechts im menstruationsfähigen Alter macht einen ovariellen Faktor bei der Genese sonst unerklärter Flüssigkeitsansammlungen in der Bauchhöhle sehr wahrscheinlich. Zur Ätiologie sprechen Literaturangaben der Endometriose eine in der Häufigkeit führende Rolle zu vor oligosymptomatischen infektiösen oder entzündlichen Erkrankungen.
Abstract
In 15,645 consecutive ultrasound examinations of the abdomen (1986 to 1988), free fluid in the peritoneal cavity was found in 247 patients by internal trial during 397 sessions (=2.5%). Most frequent basic diagnosis for the reason of this Symptom were tumorous diseases (99 patients corresponding to 40,1%), cirrhosis of the liver (52 patients corresp. to 22,1 %) and heart failure (31 patients corresp. to 12,6%, among these complex gayprooft myocardial insufficiency 24, right heart failure 7). Ovarian cysts or cystomas (7), acute/chronic-recurrent pancreatitis (6), Crohn's disease (3), infections (3), rheumatoid disorders (3), nephrotic syndrome (2), and extra-uterine pregnancy (2) were more rarely represented. In 23 patients (corresp. to 9,3 %) the cause of an ascites remained obscure. Among thesc, a high prevalence of the female sex in the premenopausal age was remarkable with a score of 20:3 (statistically significant difference in terms of the other patients of our group). This observation suggests that an ovarian factor plays a role in the development of ascites in the absence of other evident causes. The literature implies that endometriosis is rather prominent, followcd by oligosymptomatic infections or inflammatory diseases.
Schlüsselwörter
Abdomen - Aszites - Endometriose - Intra-peritoneale Infektion - Weibliche Geschlechtsprävalenz
Key words
Abdomen - Ascites - Endometriosis - Intra-peritoneal infection - Prevalence of the female sex
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