Ascitic fluid analysis in the differentiation of spontaneous bacterial peritonitis from gastrointestinal tract perforation into ascitic fluid. Hepatology (Baltimore, Md.) [Hepatology] Journal article

Title	Ascitic fluid analysis in the differentiation of spontaneous bacterial peritonitis from gastrointestinal tract perforation into ascitic fluid.
Author(s)	Runyon BA, Hoefs JC
Source	Hepatology 1984 May-Jun; 4(3):447-50.
MeSH	Ascitic Fluid Colon, Sigmoid Diagnosis, Differential Duodenal Ulcer Glucose Humans Intestinal Perforation L-Lactate Dehydrogenase Liver Cirrhosis, Alcoholic Peptic Ulcer Perforation Peritonitis Proteins Stomach Ulcer
Abstract	A review of patients with bacterial peritonitis and ascites revealed six patients with gastrointestinal tract perforation into their ascitic fluid and 33 episodes of spontaneous bacterial peritonitis in 32 patients. Signs and symptoms were not helpful in differentiating the two groups; however, ascitic fluid analysis was found to be useful. All patients with perforation peritonitis fulfilled at least two of the following criteria: ascitic fluid total protein greater than 1 gm per dl, glucose less than 50 mg per dl and lactate dehydrogenase greater than 225 mU per ml. In only two episodes of spontaneous bacterial peritonitis were two of the criteria fulfilled.
Language	eng
Pub Type(s)	Journal Article
PubMed ID	6724512

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