• Radhouan Debbeche, Haifa Mekki, Fatma Houissa, Amel Moussa, Slim Bouzaidi, Senda Trabelsi, Yosra Said, Leila Mouelhi, Mohamed Salem, and Taoufik Najjar.
• Service de Gastroentérologie, Hôpital Charles Nicolle, Tunis.
• Tunis Med. 2010 Jun 1; 88 (6): 437-9.

BackgroundNephrogenic ascites is a clinical entity that manifests as refractory and exsudative ascites with unknown etiology in patients with end stage renal disease and often undergoing hemodialysis. This entity presents in practice many diagnostic and therapeutic difficulties.AimThe aim of this study is to focus on these difficulties through a new observation.Case ReportWe report one case of nephrogenic ascites in chronic renal failure related to an idiopathic neurologic bladder. It's a 38 years old patient on hemodialysis for three years who consulted for exsudative ascites with a low rate of leucocytes.ConclusionWe conclude that nephrogenic ascites is rare. Its diagnosis is an exclusion diagnosis based on exclusion of other causes of ascites, particularly exsudative forms with low leucocytes rate. Its management is based essentially on renal transplantation and its prognosis is very poor.

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