Ascites and Peritoneal Fluid Collections

Gore, Richard M.; Newmark, Geraldine M.; Gore, Margaret D.

doi:10.1016/b978-1-4160-2332-6.50117-2

Cited by 5 publications

(3 citation statements)

References 93 publications

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“…Given that our patient had TG levels exceeding 600 mg/dL, the milky fluid was diagnosed as chylous ascites. The CT value of the ascites was 5.0 HU, not suggestive of hemoperitoneum and indistinguishable from that of water [ 11 – 13 ]. Major lymphatic leaks can sometimes be visualized with MR lymphography [ 14 ], aiding the diagnosis of chylous ascites.…”

Section: Case Presentationmentioning

confidence: 99%

Chylous ascites associated with intestinal obstruction from volvulus due to Petersen’s hernia: report of a case

et al. 2016

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BackgroundChylous ascites is an uncommon finding which is usually associated with recent abdominal/oncologic or retroperitoneal surgery. It is not usually seen in cases of acute obstruction.Case presentationA patient who had previously undergone a laparoscopy-assisted distal gastrectomy with Roux-en-Y reconstruction for early gastric cancer presented with acute abdominal pain and epigastric fullness. Computed tomography suggested small bowel obstruction due to volvulus. We were able to reduce the volvulus and close a Petersen’s hernia without resecting the bowel; a large amount of chylous ascites was an incidental finding.ConclusionsWe present a case of chylous ascites occurring in a setting of small bowel obstruction due to Petersen’s hernia, 3 years after successful distal gastrectomy for early gastric cancer, with no evidence of tumor recurrence.

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Section: Case Presentationmentioning

confidence: 99%

Chylous ascites associated with intestinal obstruction from volvulus due to Petersen’s hernia: report of a case

et al. 2016

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“…The specific gravity of a fluid is proportional to its protein content. Therefore, the density of the ascitic fluid increases with increasing protein content and exudates . Ascitic fluid is traditionally classified as being transudative or exudative based on its protein concentration.…”

Section: Discussionmentioning

confidence: 99%

Non‐traumatic bladder rupture showing less than 10 Hounsfield units of ascites

Mizumura

Okumura

Toyoda

et al. 2016

Acute Medicine & Surgery

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Aim: Bladder ruptures are commonly misdiagnosed as gastrointestinal perforations or intestinal ischemia. If a diagnosis is made preoperatively, conservative treatment is a safe and effective option. We evaluated the validity of using the attenuation value of ascites, measured by non-contrast computed tomography (CT), to identify patients with bladder ruptures.Methods: A retrospective search of our hospital database identified 7 patients with confirmed bladder ruptures between 2007 and 2013. We also enrolled 18 patients with gastrointestinal perforations and 10 patients with intestinal ischemia with detectable ascites on abdominal CT that had undergone emergency exploratory laparotomy between 2007 and 2013. Between-group comparisons of attenuation values of ascites as obtained by non-contrast CT were evaluated.Results: All attenuation values were less than 10 Hounsfield units (HU) in bladder rupture patients. Moreover, the attenuation value of ascites in cases of bladder rupture (median, 5.7; range, 3.1-6.1) was significantly lower than in cases of gastrointestinal perforation (median, 14.7; range, 4.7-25.4) and intestinal ischemia (median, 13.3; range, 6.0-18.1) (P = 0.004 for both comparisons). Conclusion:Bladder rupture mimics gastrointestinal perforation and intestinal ischemia with acute kidney injury. Therefore, the diagnosis of bladder rupture using the attenuation value of ascites on non-contrast CT is both useful and highly significant. We suggest that bladder rupture be considered in the differential diagnosis of patients presenting with acute abdominal pain and attenuation values of ascites of less than 10 Hounsfield units.

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“…The abdominal cavity is divided into supra and inframesocolic compartments (Figure 1) by transverse mesocolon [1,2]. The supramesocolic compartment (space above transverse mesocolon) is divided into right and left parts by the falciform ligament [3].…”

Section: Supramesocolic (Sm) Compartmentmentioning

confidence: 99%

Role of Computed Tomography in the Evaluation of Peritoneal Carcinomatosis

Kose¹

2023

Journal of the Belgian Society of Radiology

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Peritoneal carcinomatosis (PC) refers to metastatic spread of tumor into the peritoneal cavity. Earlier, PC was thought to be associated with grave clinical outcome. However, various advances in treatment options including cytoreductive surgery and heated intraperitoneal chemotherapy or early post-operative chemotherapy can prolong survival of patients with peritoneal carcinomatosis. These treatment options are associated with high morbidity and mortality. The purpose of this article is to acquaint the radiologist about various appearances of peritoneal carcinomatosis in order to help clinicians in selecting candidates for surgery and avoid unnecessary potentially debilitating surgeries in patients with unresectable PC.

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Ascites and Peritoneal Fluid Collections

Cited by 5 publications

References 93 publications

Chylous ascites associated with intestinal obstruction from volvulus due to Petersen’s hernia: report of a case

Chylous ascites associated with intestinal obstruction from volvulus due to Petersen’s hernia: report of a case

Non‐traumatic bladder rupture showing less than 10 Hounsfield units of ascites

Role of Computed Tomography in the Evaluation of Peritoneal Carcinomatosis

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