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- W2283805961 abstract "Five indices were used as rules of thumb to review abdominal computed tomograms (CT) of consecutive 30 ascitic patients in an attempt to differentiate benign from malignant ascites. These included: (1) distribution of ascites; (2) bowel-mesentery pattern (3) intact intra-/extraperitoneal interface; (4) associated hepatic or non-hepatic metastases; and (5) retro-peritoneal lymphadenopathy. Among these indices, the direct identification of abdominal mass or lymphadenopathy had highest accuracy (1 00%) in predicting malignant ascites. Obliteration of intra-/extraperitoneal interface and matted bowel-mesentery pattern reflected high possibility of malignancy (sensitivity 60%, 56.25%, respectively, specificity 80%, 71.42%, repectively), and the inflammatory process, was the next probability. The distribution of fluid in cases with large or small amount of ascites was not very helpful in differential diagnosis (sensitivity 31.25, specificity 78.50%). The most frequent sites of fluid accumulation in our cases were perihepatic and right paracolic gutter in contrast to the least site in the lesser sac. A full knowledge of these indices might further aid in differentiation of the nature of the ascites." @default.
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- W2283805961 date "1990-08-01" @default.
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- W2283805961 title "The Differential Diagnosis of Ascites: CT Evaluation" @default.
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