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1 Heart failure can also cause swelling in your abdomen. Sometimes it can cause fluid to accumulate in your lungs (pulmonary edema), which can lead to shortness of breath.  Cirrhosis. Fluid may accumulate in your abdominal cavity (ascites) and in your legs as a result of liver damage (cirrhosis).
Less commonly, ovarian cysts or other types of tumors can cause the appearance of a distended abdomen. A distended stomach (abdomen) can be associated with other symptoms, including belching, nausea, vomiting, diarrhea, fever, or abdominal pain. distended stomach is a term usually used to refer to distension or swelling of the abdomen and not of the stomach itself. When the term is used in this manner, a number of different diseases and conditions can cause abdominal distension.