31. However, paracentesis can be used in cases where there is no pelvic mass and ascites is still present. 32. The increase in hydrostatic pressure causes more fluid to leave the circulation into the peritoneal space ( ascites ). 33. He was hospitalized for ascites , and his peritoneal cavity was drained of over 6 liters of bodily fluid. 34. A high gradient ( > 1.1 g / dL ) indicates the ascites is due to portal hypertension. 35. A low gradient ( < 1.1 g / dL ) indicates ascites of non-portal hypertensive etiology. 36. If the malignancy has not been diagnosed by the time it causes ascites , it is typically diagnosed shortly thereafter. 37. The SAAG may be a better discriminant than the older method of classifying ascites fluid as a transudate versus exudate. 38. Those with ascites due to heart failure may also complain of shortness of breath as well as wheezing and exercise intolerance. 39. In progressively severe cases, ascites ( fluid accumulation in the abdominal cavity causing swelling ) and liver enlargement may develop. 40. Signs of systemic congestion resulting from right-sided heart failure include jugular venous distension, ascites , and hepatojugular reflux.
