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...

the development of ascites in hyperthyroid patients is a rare phenomenon and usually occurs in the context of exaggeration of right-sided heart failure , so it is categorized as high saag ascites. in this case report, we present a 73-year-old man who was referred to us with anorexia, severe weight loss, anemia, lower limbs pitting edema, and also exudative, low saag ascites. extensive work up r...

Ascites can be defined as the abnormal accumulation of fluid inside the peritoneal cavity. Earlier ascites was classified as transudative and exudative based on the total protein concentration of the ascitic fluid. The traditional concept of high protein ascites(> 2.5 g/dl) as exudate was questioned because: (a) the normal peritoneal fluid protein concentration is some times > 4 g/dl(1); (b) th...

During routine computed tomography and magnetic resonance imaging studies, small volumes of ascites may be detected in patients without liver cirrhosis or gross peritoneal dissemination of cancer. Additionally, transvaginal ultrasonography of the Douglas pouch makes sampling of peritoneal ascites technically easy. It is often necessary to sample the ascites to rule out peritoneal carcinomatosis...

BACKGROUND Percutaneous needle peritoneal biopsy in diagnosis of exudative ascites has gained wide acceptance and many workers have utilized it with a high diagnostic yield and no significant complications. Present study has been carried out to determine the efficacy of percutaneous needle peritoneal biopsy in the diagnosis of exudative ascites of unknown aetiology. METHODS It is a descriptiv...

ascites in the course of crohn's diseases is rare and is usually a sign of a concomitant malignancy, infection or thrombosis of portal or hepatic vein. herein, we reported on a 26-year-old man who was initially admitted with severe crohn's ileocolitis complicated by copious exudative ascites, abdominal pain and sever diarrhea. in our patient, we could not find any of the aforementioned conditio...

Introduction: The aim of this study was to clarify the role of laparoscopy in the etiological diagnosis of exudative ascites of unknown origin in women. Materials and Methods: This was a prospective study from 2007 to 2012, including 83 women with exudative ascites of unknown origin and had a laparoscopy diagnostic purpose. Results: Carcinomatosis and peritoneal tuberculosis were the two most c...

Ascites is a rare complication of multiple myeloma (MM); in most cases, the direct invasion of myeloma cells to the peritoneal cavity has been assumed to be the etiology because the effusion is usually exudative and contains a high proportion of myeloma cells. We herein report a case of MM with massive ascites containing only a small amount of myeloma cells. Instead, high levels of serum and as...

Polycystic liver disease is commonly asymptomatic but may present with hepatomegaly, abdominal distension, and dull abdominal pain. Transudative ascites is a rare manifestation in these patients but may occur when portal hypertension is present resulting from associated hepatic fibrosis or after deroofing procedure of a cyst. Exudative ascites might suggest hepatic venous outflow obstruction. F...