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Ascites is the accumulation of fluid (usually serous fluid which is a pale yellow and clear fluid) that accumulates in the abdominal (peritoneal) cavity. The abdominal cavity is located below the chest cavity, separated from it by the diaphragm. Ascitic fluid can have many sources such as liver disease, cancers, congestive heart failure, or kidney failure.
Fluid overload, which causes swollen legs like these, happens with both heart failure and kidney disease. Fluid overload is most frequently caused by heart failure. As the heart weakens, blood flow returning to the heart slows, backs up in the veins and causes fluid buildup in the tissues. Heart failure also affects the kidneys, resulting in less efficient elimination of sodium and water. The retained water increases the fluid congestion.