Abstract
The aim of this study is to review clinical case ascites and the use of ultrasound for the detection/classification of free intra-peritoneal fluid. Current therapeutic modality is in support of ultrasound guided paracentesis/thoracocentesis as a multidisciplinary procedure for ascitic reduction. Post-surgical free intra-peritoneal fluid is a common iatrogenic complication. We present ascitic cases of diseased conditions, questionable origins (in females) following hernia reduction and laparoscopic procedures to evaluate ascitic etiology through ultrasound. Average attenuation and quadrant sum of largest fluid pocket ultrasound (frozen) images were measured. 12 patients with free intra-peritoneal fluid had identifiable anatomical organs: liver, kidneys, urinary bladder and bowel loops. The size of maximal pocket of ascitic fluid in ill-patients was 1210/300 mm2, while fluid in subjects with non-traumatic injury was clear (free of striations) and appeared less dense.
Highlights
In quantifying the volume of ascites in evaluating disease extent and selecting appropriate means of treatment, ultrasound use is important because physical palpation and history taking are less sensitive with accuracy [1]
The aim of this study is to review clinical case ascites and the use of ultrasound for the detection/classification of free intra-peritoneal fluid
We present ascitic cases of diseased conditions, questionable origins following hernia reduction and laparoscopic procedures to evaluate ascitic etiology through ultrasound
Summary
In quantifying the volume of ascites in evaluating disease extent and selecting appropriate means of treatment, ultrasound use is important because physical palpation and history taking are less sensitive with accuracy [1]. The purpose of this review is to determine ascitic free-fluid volume in female patients with dif-. Individual quadrant measurements of maximal fluid can be estimated in gauging ascites [5]. Literature reports greater than 52% of patients with hepatic disease and cirrhosis develop ascites [6] and 6% “ascitic-link” for heart diseases and cardio-pulmonary failure. A poly-morpho-nuclear (PMN) leukocyte count ≥ 250 cells/mm in ascitic condition is diagnostic of Spontaneous Bacterial Peritonitis (SBP) [7]. Extracted ascitic fluid volume recommended for histopathological analysis will depend on the (explorative, therapeutic or diagnostic) nature/indication of the procedure
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