Recurrent Ascites: Think Outside the Box

Abstract

Ascites is more common in cirrhotic patients. Bladder or ureteral injury is possible in surgeries involving lower abdomen or pelvic area which can mimic ascites. Intraoperative bladder puncture or ureteral nicking during abdominal surgeries is a rare but potentially serious complication. It is important to recognize these complications as early as possible to minimize damage and prevent further treatment complications. We report a case of recurrent ascites in a 65-year-old female who underwent exploratory laparotomy for a ruptured diverticular abscess that paradoxically increased with furosemide treatment.