Abdominal pain, nausea, vomiting, and ascites in a 14-year-old girl with systemic lupus erythematosus: Answers
Question 1: What are the causes of this pathology?
Ascites is the abnormal accumulation of fluid in the peritoneal cavity and may be caused by many diseases, such as advanced liver disease or cirrhosis, viral hepatitis, pancreatitis, cancers, congestive heart failure, kidney failure, and Budd-Chiari syndrome. Abdominal distention, pain, and respiratory distress are common symptoms of the ascites. Diagnosis is based on physical examination, and radiological imaging. Blood studies including complete blood count, serum albumin and coagulation tests, and radiologic evaluation along with a detailed medical history are needed to reveal possible underlying pathology. Abdominal ultrasonography of our patient showed a thrombus inside the hepatic veins extending to hepatic confluence (Fig. 1) and contrast-enhanced axial computed tomography images showed mottled appearance of the liver, perihepatic ascites, thrombosed hepatic veins, narrowed intrahepatic inferior vena cava, and sparring...
KeywordsSystemic lupus erythematosus Ascites Venous thrombosis Anti-phospholipid antibody syndrome
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Informed consent was obtained from the parents of the patient.
Conflict of interest
The authors declare that they have no conflict of interest.
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