Secondary cause of Death?

[somerstown]

Any suggestions what the secondary cause of Death is here? Cirrhoses is easy enough to read but I cannot make sense of the secondary cause of Death?
Incidentally, her name should have been, "Sarah Arber", "Norman" was her maiden name. I have seen it written as "formally", but not as a middle name?

 

[Sherwood8]

Ascites is a common complication of liver cirrhosis.