Ascites With Honeycombed Appearance

A 56-year-old woman presented with alcoholic cirrhosis complications of ascites unless treated otherwise using diuretics (on furosemide, spironolactone, and tolvaptan) puncture. She had a history cirrhosis, obesity, depression. peritoneovenous shunt temporarily improved the ascites. Shunt obstruction worsened her abdominal distention few weeks later. During follow-up period, she pain low-grade fever. Abdominal ultrasonography revealed significant honeycombed appearance (Figure A); however, computed tomography did not indicate same result B). The cell count analysis ascitic fluid bacterial peritonitis. infected was removed, assuming that it caused appearance. Subsequently, distension improved. Four months after removal continuous administration antibiotics, results decreased without C). Peritoneovenous automatically injects into jugular vein. It can help effectively reduce number Although is often effective in cases where liver function relatively well maintained, there no hepatic encephalopathy, prone to such as peritonitis heart failure, easily occur.