Biliary ascites occurs as a result of bile leakage into the peritoneal cavity.


Diagnosis of biliary ascites:

(1) development of ascites, often asymptomatic

(2) ascites fluid with evidence of increased bile

(3) a source for the bile (see below)

(4) exclusion of other causes for the ascites

(5) correction of the ascites after stopping the bile leakage


Sources of bile:

(1) spontaneous rupture of the gallbladder

(2) traumatic rupture of the gallbladder

(3) rupture of a choledochal cyst

(4) following liver biopsy

(5) following percutaneous biliary drainage

(6) following biliary tract surgery

(7) toxoplasmosis


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