Introduction:

Ascites is defined as the presence of fluid in the peritoneal cavity. The most common etiology is liver diseases with portal hypertension; among them liver cirrhosis is reported in 40 % of cases with 5-year follow-up. Previous studies demonstrate that ascites due to cirrhotic liver disease occurs in 80-85 % of the cases, that carcinomatosis is also present in 10 %, and also that among the rarest causes, heart failure and peritoneal tuberculosis are present in 3 % of cases along with portal vein thrombosis, sarcoidosis, intraperitoneal tumors, pancreatic ascites and eosinophilic enteritis.

Objective:

To describe uncommon clinical presentations as cause of ascites in patients admitted to “Hermanos Ameijeiras” Clinical Surgical Hospital.

Case presentation:

Five cases of patients admitted to “Hermanos Ameijeiras” Clinical Surgical Hospital with the diagnosis of ascites: chylous, hemorrhagic, eosinophilic and colloid as well as the pathologies that led them to this clinical manifestation and a brief description of it are presented.

Conclusion:

The analysis of the clinical presentation of the cases, the findings in the imaging studies and laboratory tests and the anatomopathological results allowed the diagnosis of the entities causing atypical ascites in these patients.

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