Urinary ascites after transurethral resection in a cirrhotic patient

Abstract

Urinary ascites is a rare entity, usually secondary to iatrogenic or traumatic bladder perforation. Given the infrequency of the entity, it is a diagnosis for which high clinical suspicion is required, and when a patient presents with ascites, it is common to attribute it to other causes. Especially in cirrhotic patients, where ascites is most often secondary to portal hypertension, although this is not always the cause. It is therefore important to always make an appropriate differential diagnosis, assessing the patient's history, the characteristics of the ascitic fluid and the response to treatment. We present the case of a patient with cirrhosis, with a history of transurethral resection (TUR) of a bladder tumour, which was initially classified as oedema-ascites decompensation and after completing the diagnostic process was attributed to urinary ascites.

Keywords: uroperitoneum, ascites, cirrhosis.