In this condition there is collection of fluid in the peritoneal cavity. Clinically it is diagnosed by eliciting Puddle’s sign, shifting dullness or fluid thrill depending upon the amount of fluid. In huge collection the diaphragm is pushed up making the child difficult to lie flat in bed. The prominent veins on the abdominal wall signifies inpaired venous flow through the portal vein or inferior vena cava . The three commonest cause are tubercular, portal vein and inferior venacaval obstruction.