Mukund

But in rare cases, PSVD can actually cause ascites, even though it has a predominantly presinusoidal component.

So

I think the pet theory that I carried or a couple of pet theories that I carried were one, is this cancer that we haven't detected?

Two, is this PSVD with ascites that was complicated by spontaneous hemorrhage into the belly, thereby complicating the interpretation of the ascites fluid studies and making the sag falsely depressed?

Or three, is this ruptured cholecystitis in a person who doesn't seem to show signs of inflammation in typical ways on the physical exam that caused secondary bacterial peritonitis in a more subacute tempo and that we were just catching at the tail end?

I think ultimately we'll never know.

It's probably one of the more complicated cases I've presented on CP solvers.

I think you guys really rose to the challenge.

I'm very grateful that you discussed it.