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
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