Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
- Cirrhosis
- Alcoholic hepatitis
- Cardiac ascites
- Massive liver metastases
- Fulminant hepatic failure
- Hepatic vein thrombosis (Budd-Chiari syndrome)
- Portal vein thrombosis
- Veno-occlusive disease
- Acute fatty liver of pregnancy
- Myxedema
- "Mixed ascites"
Low albumin gradient (<1.1 g/dl):
- Peritoneal carcinomatosis
- Tuberculosis
- Biliary ascites without cirrhosis
- Nephrotic syndrome
- Ascites associated with connective tissue disease
- Ascites associated with bowel ischemia/infarction
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