Q. What are the causes of perihepatic ascites?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Seconmedic Expert

Perihepatic ascites, or hepatocutaneous syndrome, is an accumulation of fluid in the peritoneal cavity located around the liver. This condition can occur due to a variety of causes and may require medical treatment to reduce the risk of complications.

The most common cause for perihepatic ascites is cirrhosis of the liver, which results from long-term scarring that occurs with chronic conditions such as alcohol abuse, hepatitis B and C, fatty liver disease (NAFLD), autoimmune hepatitis, primary biliary cirrhosis (PBC) and hemochromatosis. Cirrhosis leads to decreased production of albumin by the damaged cells in the liver; albumin helps maintain osmotic pressure between blood vessels and tissue so when there’s a decrease it can lead to fluid buildup outside these vessels.

In some cases, perihepatic ascites can also result from other less common causes such as pancreatitis or cancerous tumors growing near or on the organ itself. It may also be caused by blockages related to kidney disorders like nephrotic syndrome; in this case it’s referred to as “nephrocutaneous syndrome.” Furthermore infections in this region such as tuberculosis could also lead to fluid build up if not treated promptly (source).

If you suspect you have perihepatic ascites it’s important that you consult your doctor for diagnosis and treatment options tailored specifically for your situation. Treatment typically includes diuretics (water pills) taken orally or intravenously plus dietary changes like consuming smaller meals more frequently throughout day along with limiting salt intake which will help reduce fluid buildup within abdomen . Additionally medications known colloquially as ACE inhibitors which help relax blood vessel walls thus reducing strain on heart are often prescribed too . Lastly if condition does not respond properly additional steps may need taken such surgical removal excess fluids endoscopically draining them via catheter insertion using paracentesis technique etc .  In any case proper medical attention must sought out ensure correct resolution symptoms associated with perihopericascite so that long term health maintained without recurrence issue down line .

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