31st July 2023

A 42-year-old woman presents with an acute onset of abdominal distension. She has no abdominal pain or jaundice

A 42-year-old woman presents with an acute onset of abdominal distension. She has no abdominal pain or jaundice. Her past medical history includes gastro-oesophageal reflux disease and factor V Leiden, but there is no history of liver disease noted. She drinks 15 units of alcohol per week. On examination, there are ascites, but the abdomen is non-tender. The spleen is enlarged, but the liver is not. What is the most likely cause of the presentation?

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