Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 40: Progressive Ascites In a Patient From Sierra Leone (continued)

John Clarke, MD

A 40-year-old man from Sierra Leone presented to the emergency room with 7 days of progressive abdominal girth and pain. He reported occasional diarrhea over the preceding months but denied any additional clinical symptoms. Past medical history was notable for hypertension with end stage renal disease (on hemodialysis), acute hepatitis B infection, and a remote schistosomiasis infection that was successfully treated. He was married without children and emigrated from Sierra Leone 15 years prior. He worked as a school janitor and was a heavy smoker for several years. He denied alcohol or…