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Management of tense ascites

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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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

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