This review article has summarized the most important knowledge on the
ascites syndrome (AS) of broiler chickens [other nomenclature: pulmon
ary hypertension syndrome (PHS), right ventricular hypertrophy (RVH) s
yndrome] based mainly on literature data and partly on own diagnostic
observations of the authors. Internal predisposing factors (anatomical
and physiological) have been treated together with the external, non-
infectious and infectious etiology which may play a role in the manife
station of ascites due to morphological and functional damaging certai
n organs or blood vessels. During the clinical examination enlargement
of the abdominal cavity and ascites, as well as dyspnoea, tachypnoea
and cyanosis can be observed. The haematological investigations reveal
ed increase of red cell counts, general cell size, haemoglobin and pac
ked cell volume values meanwhile the protein level of blood plasma dec
reased due to the ''protein loss'' towards the abdominal cavity. The p
athological examinations revealed accumulation of yellowish, watery, t
ransparent fluid containing sometimes gelatin-like plasma coagulation
and occasionally fibrin flakes in the peritoneal and abdominal cavitie
s and in the pericardium. The serosa of the swollen liver is enlarged,
becomes fuliginous and the surface is frequently covered by a fibrin
layer. Right atrium and ventricle of the heart, as well as the inferio
r and superior vena cava are dilated. The wall of right ventricle is e
nlarged. Congestion plethora can be seen in the lungs and other organs
. The histological investigations revealed oedema in the myocardium wi
th degeneration of certain muscle cells, slight proliferation of fibro
blasts and heterophyl granulocytic infiltration. Congestion plethora a
nd oedema were observed in the lungs. Sinusoids in the liver are dilat
ed and part of the hepatic cells are degenerated due to hypoxia. The G
lisson's capsule is enlarged because of the proliferation of mesotheli
al cells. The electron microscopic investigation of the lungs revealed
swelling of the endothel cells of capillaries, as well as enlargement
of the basal membrane of the respiratory epithelium. Myofibrillar deg
eneration was observed in the heart and swelling of the mitochondria w
ith fragmentation of their crysta. Diagnosis of primary or secondary a
scites accompanying other diseases is a complex task and not always po
ssible due to the characteristic but similar clinical symptoms and pat
hological changes. Detection of the management, metabolic, toxic or in
fectious causes are required to control and prevent the disease which
needs complex laboratory diagnostic investigations and careful examina
tion of the management conditions of the animals on the spot.