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Management of tense ascites

Authoring team

The management of tense ascites i.e. referring to the feel of the abdomen due to elevated pressure involves:

  • therapeutic paracentesis of 4-6 litres
  • plasma volume expansion with albumin is used by many at the same time as therapeutic paracentesis
  • further management is then as for non-tense ascites

Reference

  1. Biggins SW et al. Diagnosis, evaluation, and management of ascites, spontaneous bacterial peritonitis and hepatorenal syndrome: 2021 practice guidance by the American Association for the Study of Liver Diseases. Hepatology. 2021 Aug;74(2):1014-48.

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