• Am J Emerg Med · Apr 2022

    Case Reports

    Nephrogenic ascites in the emergency department: A case report.

    • Samuel Hampton, Sara Hollis, and Kevin Beier.
    • University of Tennessee Health Science Center, College of Medicine Nashville - Emergency Medicine Residency, 1840 Medical Center Parkway, Suite 403, Murfreesboro, TN 37129, United States of America.
    • Am J Emerg Med. 2022 Apr 1; 54: 327.e1-327.e3.

    AbstractNephrogenic ascites is a rare occurrence with an extremely low incidence. It is easily misdiagnosed by both emergency physicians and nephrologists. Missed diagnosis contributes to a significant increase in morbidity and mortality. We report a case of nephrogenic ascites presenting and diagnosed in the emergency department by confirming lack of alternative diagnoses coupled with point of care ultrasound of the abdomen and CT scan abdomen and pelvis. Familiarity with this rare complication of end-stage renal disease is important for emergency physicians, as the mortality rate is very high. Early recognition, diagnosis, and treatment has been demonstrated to substantially reduce morbidity and mortality.Copyright © 2021 Elsevier Inc. All rights reserved.

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