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Ascitic fluid is seen as intra-abdominal echofree fluid. Traces
of fluid may frequently be seen around the liver, spleen and the
bowel loops.
Cause of Ascites :
(frequently, fetal asites
occur as a part of hydrops)
* Haemolytic disease : include fetomaternal blood group incompatibilities
(Rh isoimmunisation), fetal hemoglinopathy (alpha thalassemia),
6GDP deficiency, fetal hemorrhage, twin-twin transfusion and anemia
due to marernal-acquised pure red cell aplasia.
* Bowel anomalie.
* Obstructive uropathy.
* Cardiovascular disease (hypoplasia of the left heart, septal
defects, fetal arrhythmias :supraventricular tachycardia, heart
block.
* Intrauterine infection (congenital syphilis).
* Portal venous obstruction, cirrhoses or biliary atresia.
differential
diagnosis
Pseudoascites: this artifact is seen as a linear lucency beneath
the skin on the lateral part of abdomen (muscle of abdominal wall).
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