Ascites and testicular edema | Figure 1

Ascites and Testicular Edema

66-year-old male patient was brought to consultation by people from an evangelical church for presenting a clinical picture of 3 months of evolution characterized by abdominal and pelvic edema, bilateral testicular edema indicate that the patient is indigent. When questioned the patient refers not to be hypertensive, nor diabetic, is a drinker since 22 years of age (2 to 3 times a week).

He also reports having dyspnea from small efforts and headache. Abdominal and testicular ultrasound and laboratory tests are sent. (Ultrasounds are only performed).

Laboratory tests, serum albumin, bilirubin, prothrombin times are sent.

Results of Ultrasounds:

1. Liver: With smooth edges and diminished size, homogeneous, micronodular pattern. Measures: 13.90 centimeters.
2. Spleen: Enlarged, homogeneous size. Measures: 8.60 centimeters.
3. Ascites approximately 5,000 CC.
4. Bilateral testicular edema
5. Pelvic ultrasound: Grade 3 benign prostatic hyperplasia.

Diagnosis, Complementary Tests, and Patient Management?

The author made an update to this case

Update 1
The patient was referred to a gastroenterologist and was changed from Hospital. I do not have much data so I have not published an update. I only know that he has already been diagnosed and is hospitalized. Greetings to all!!

Diagnosis Added

Alcoholic liver cirrhosis

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