Ascites in Medicine / Internal Medicine — 50yo Man | Gastroenterology | SMLE Q#18698
SMLE Question #18698
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-IM-GI-ASCITES-01
Last updated: February 2026
A 50-year-old man has 3 months of progressive abdominal distension and early satiety. He had pulmonary tuberculosis 10 years ago that was treated. He is afebrile and reports no abdominal pain. Examination shows shifting dullness consistent with ascites and no guarding. Diagnostic paracentesis is performed. Which of the following is the most likely cause of his ascites?
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