Hemorrhagic ascites as a complication of heart failure: A case report and review of the literature
<h3>Introduction:</h3><p dir="ltr">Although ascites is a common complication of congestive heart failure, the association between heart failure and hemorrhagic ascites is quite rare.</p><h3>Patient concerns:</h3><p dir="ltr">A 64-year-old...
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2022
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| Summary: | <h3>Introduction:</h3><p dir="ltr">Although ascites is a common complication of congestive heart failure, the association between heart failure and hemorrhagic ascites is quite rare.</p><h3>Patient concerns:</h3><p dir="ltr">A 64-year-old woman with recurrent large bloody ascites secondary to heart failure.</p><h3>Diagnosis:</h3><p dir="ltr">Ascitic fluid assessment revealed red blood cells of 75,125/mm3 and white blood cells of 225/mm3. The total protein in the ascitic fluid was 28.7 g/L, with a high serum ascites albumin gradient. Peritoneal fluid examinations for bacterial culture, acid-fast bacilli (smear and culture), and malignant cell cytology were negative.</p><h3>Interventions:</h3><p dir="ltr">The patient was managed with therapeutic paracentesis, aggressive diuresis, and optimization of her heart failure medications.</p><h3>Outcomes:</h3><p dir="ltr">The patient’s symptoms improved dramatically and was discharged in a stable condition.</p><h3>Conclusion:</h3><p dir="ltr">Congestive heart failure should be considered as a potential cause of hemorrhagic ascites after ruling out other serious causes.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000030708" target="_blank">https://dx.doi.org/10.1097/md.0000000000030708</a></p> |
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