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Ascitic Fluid Analysis in the Differentiation of Spontaneous Bacterial Peritonitis from Gastrointestinal Tract Perforation into Ascitic Fluid
Author(s) -
Runyon Bruce A.,
Hoefs John C.
Publication year - 1984
Publication title -
hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.488
H-Index - 361
eISSN - 1527-3350
pISSN - 0270-9139
DOI - 10.1002/hep.1840040316
Subject(s) - ascitic fluid , spontaneous bacterial peritonitis , gastrointestinal tract , peritonitis , medicine , perforation , peritoneal fluid , ascites , punching , materials science , metallurgy
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 ± 1 gm per dl, glucose < 50 mg per dl and lactate dehydrogenase ± 225 mU per ml. In only two episodes of spontaneous bacterial peritonitis were two of the criteria fulfilled.