CONTEXT AND OBJECTIVE Spontaneous bacterial peritonitis (SBP) is a severe complication that occurs in 8-27% of hospitalized patients with liver cirrhosis and ascites, with high mortality rates. This study aimed to identify the clinical characteristics associated with SBP. DESIGN AND SETTING Cross-sectional study, conducted in a public university. METHODS The study consecutively included ind...

  Abstract   Background: Regarding the diagnostic errors of the classic criteria including serum ascites   albumin gradient (SAAG), total protein concentration and the adapted Light et al’s criteria   in distinguishing transudate versus exudates, we evaluated the ascitic fluid to serum   bilirubin ratio as a new criteria in this regard. We also evaluated whether the combination of   bilirubin r...

Abdominal cocoon or sclerosing encapsulating peritonitis (SEP) is a rare cause of intestinal obstruction described mostly in young adolescent girls. Thick fibrotic peritoneum encasing the small bowel is a pathognomonic feature. Preoperative diagnosis is rare. A 37-year-old man with hypertension and chronic renal failure presented with complaints of vomiting and abdominal pain lasting a few days...

Background: Regarding the diagnostic errors of the classic criteria including serum ascites albumin gradient (SAAG), total protein concentration and the adapted Light et al’s criteria in distinguishing transudate versus exudates, we evaluated the ascitic fluid to serum bilirubin ratio as a new criteria in this regard. We also evaluated whether the combination of bilirubin ratio with each of the...

BACKGROUND Ascites is the most common complication of cirrhosis, associated with an expected survival below 50% after 5 years. Prognosis is particularly poor for patients with refractory ascites and for those developing complications, including spontaneous bacterial peritonitis (SBP) and hepatorenal syndrome (HRS). AIM To provide an evidence-based overview of the pathophysiology, diagnosis an...

abstract background: regarding the diagnostic errors of the classic criteria including serum ascites albumin gradient (saag), total protein concentration and the adapted light et al’s criteria in distinguishing transudate versus exudates, we evaluated the ascitic fluid to serum bilirubin ratio as a new criteria in this regard. we also evaluated whether the combination of bilirubin ratio with ea...

A 55-year-old woman presented with recurrent abdominal pain, a lump in her abdomen, and vomiting. In the previous 10 years, she required multiple hospital admissions for pain. Examination revealed pallor and a lump (20 cm 15 cm) extending from left hypochondrium to left iliac region. Labs showed hemoglobin 7.8 g/dL, platelet count 5,100 cells/mm, and serum protein/ albumin 6.7/3.4 g/dL; the res...