Bloody ascites

Introduction There are organ ruptures in the abdominal cavity, and malignant tumors in the abdominal cavity may cause bloody ascites in patients. Among them, organ rupture is common in liver rupture, spleen rupture, uterine out-of-pregnancy leading to tubal rupture, hemorrhagic necrotizing pancreatitis

Cause

The cause of bloody ascites

The cause of bloody ascites is malignant tumors, especially for digestive system tumors, and the clinical manifestations are also obvious. Gastrointestinal tumors are malignant with primary liver cancer or cirrhosis, and gastric cancer is more common. Visible malignant tumor infiltration caused by varicose mesenteric vein rupture or vascular erosion caused by bleeding, cancer eroding spontaneous bleeding caused by liver fiber, liver cirrhosis with liver cancer, bloody ascites or primary liver cancer, the cause of bloody ascites is mostly caused by liver cancer nodules rupture or The peritoneum is invaded by the tumor and is eroded, or the tumor is blocked by a tumor thrombus.

The cause of non-neoplastic blood ascites is diversified and distributed. Non-neoplastic bloody ascites, cirrhosis with tuberculous ascites, cirrhosis and blood stasis caused by coagulopathy are not uncommon. Tuberculous peritonitis is due to tuberculous inflammatory infiltration, causing increased vascular permeability or peritoneal tuberculous nodules Necrosis causes hemorrhage, decompensated cirrhosis or nephrotic syndrome is also common with spontaneous bacterial peritonitis to produce bloody ascites, and coagulopathy, due to prolonged prothrombin time, thrombocytopenia, thus visible, non-tumor The causes of bloody ascites are diverse and the mechanisms are different.

an examination

Related inspection

Abdominal puncture, general examination of liver, gallbladder, pancreas, spleen MRI examination liver, gallbladder, spleen CT examination gastrointestinal CT examination

Bloody ascites examination

Bloody ascites is mainly malignant tumors, especially for digestive system tumors, with multiple cases in middle-aged and elderly people, and the course of disease is short. The cause of non-neoplastic blood ascites is diversified and distributed. Clinically, patients with bloody ascites should be treated with gastroscope, colonoscopy, laparoscopic and celiac angiography to determine the cause of the disease, in addition to routine ascites routine, tumor markers and non-invasive examination of B-ultrasound, CT and MRI.

Differential diagnosis

Bloody ascites confusing symptoms

Bloody ascites needs to identify benign or malignant ascites. Can do ascites check: such as ascites to check cancer cells; enzymology check - lactate dehydrogenase increased suggestive of malignancy. Determination of ascites tumor markers - mainly alpha-fetoprotein (AFP) positive for liver cancer. Immunological examination - ascites fiber-linked protein is the best indicator for identifying benign and malignant ascites.

Bloody ascites is mainly malignant tumors, especially for digestive system tumors, with multiple cases in middle-aged and elderly people, and the course of disease is short. The cause of non-neoplastic blood ascites is diversified and distributed. Clinically, patients with bloody ascites should be treated with gastroscope, colonoscopy, laparoscopic and celiac angiography to determine the cause of the disease, in addition to routine ascites routine, tumor markers and non-invasive examination of B-ultrasound, CT and MRI.

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