LAB RESULTS:
MORE THAN 2.5 - CAPILLARY LEAK
ASCITIC FLUID PROTEIN
LOW SAAG ASCITES
LESS THAN 2.5- HYPOALBUMINEMIA
The Clinical Problem Solvers
CT SHOWED 2CM MASS IN LIVER AND BIOPSY REVEALED IT AS ADENOCARCINOMA BUT WAS OF UNKNOWN ORIGIN
Imaging results
A
LOW SAAG ASCITES SECONDARY TO CANCER OF UNKNOWN ORIGIN
TAKE HOME POINTS: 1-LOW SAAG ASCITES (<1.1g/dl) suggests non-portal hypertension causes such as malignancy, TB, pancreatitis, autoimmune causes or nephrotic syndrome. 2- Malignant ascites presents with LOW SAAG and HIGH Protein causing ascites due to capillary leak. 3- Management is often palliative with serial paracentesis and possibly chemotherapy and systemic therapy
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