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An unusual cause of ascites
  1. D Smith,
  2. A Nightingale,
  3. M Hamilton
  1. dave5@doctors.org.uk

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A 74-year-old man with a history of atrial fibrillation and mild left ventricular impairment presented with breathlessness and ascites. Symptoms worsened despite treatment with diuretics and he eventually underwent a diagnostic ascitic tap and drain. The fluid proved exudative yet a full hepatic screen including tumour markers was normal and subsequent …

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