Title of article
A High Serum-Ascites Albumin Gradient and Mediastinal Fibrosarcoma: A Case Report
Author/Authors
Hormati, Ahmad Assistant Professor of Gastroenterology - Research Center for Gastroenterology and Hepatology - Qom University of Medical Sciences, Qom , Jameshorani, Maryam Assistant Professor of Internal Medicine - Metabolic Disease Research Center - Zanjan University of Medical Sciences , Sarkeshikian, Saeid Assistant Professor of Gastroenterology - Research Center for Gastroenterology and Hepatology - Qom University of Medical Sciences, Qom , Ghadir, Mohammad Reza Associate Professor of Gastroenterology - Research Center for Gastroenterology and Hepatology - Qom University of Medical Sciences, Qom , Alemi, Faezeh General Practitioner - Research Center for Gastroenterology and Hepatology - Qom University of Medical Sciences
Pages
5
From page
258
To page
262
Abstract
Accumulation of free fluid in the peritoneal cavity is called ascites. The first step in identifying its etiology is to determine the serum-ascites albumin gradient (SAAG). According to this parameter, a high SAAG is regarded as a gradient greater than 1.1 g/dL. This condition has some differential diagnoses such as liver cirrhosis, Budd-Chiari syndrome, heart failure, and idiopathic portal fibrosis. In the present article, we present a young man with abdominal distention due to a high SAAG. Further evaluation of the abdominal and thoracic cavity revealed a mass in the posterior
mediastinum, which had compressed the inferior vena cava and left atrium and led to Budd-Chiari syndrome. Evaluation of the biopsy sample showed fibrosarcoma.
Mediastinal fibrosarcomas, though rare, should be considered in the differential diagnosis of mediastinal masses.
Keywords
Ascites , Budd-Chiari Syndrome , Fibrosarcoma
Journal title
Astroparticle Physics
Serial Year
2018
Record number
2417595
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