Inguinal hernia - A possible pitfall in diagnosing ascites

摘要

A 61-year-old male patient with cirrhosis secondary to sarcoidosis presented to our medical centre with mela-ena. His medical history was remarkable for sarcoidosis with pulmonary involvement and cirrhosis (a liver biopsy 10 years prior demonstrated liver involvement and cirrhosis). Complications of cirrhotic included hypersplenism and episodes of bleeding from oesophageal varices. The patient had no known ascites. Medical history was also positive for hypertension, diabetes, prostate hypertrophy and a prior cerebrovascular accident. Physical examination on admission was unremarkable for the ascites.