Ascites due to right atrial myxoma in a haemodialysis patient

BMC Nephrology
Anindya Banerjee, Andrew Davenport

Abstract

Persistent fluid overload in patients on renal replacement therapy despite good dialysis adequacy or obvious cardiac dysfunction should prompt a search for rarer causes. We report here a rare cause of persistent peripheral oedema and ascites in a well-dialysed patient. CT scanning revealed a right atrial myxoma that was later confirmed on an echocardiogram. Fluid overload states are common in patients on dialysis. Common causes are inadequacy of dialysis and non-compliance. Where aetiology is not easily apparent further investigations into rarer causes should be sought.

References

Apr 5, 2001·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·S Alsafwah, Z Lababidi
Sep 5, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·E J KingdonA Davenport
Jul 10, 2002·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Ali Ihsan GunalSoner Duman
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Aug 27, 2005·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·G A KrombachR W Günther

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