Ascites and Spontaneous Bacterial Peritonitis

@inproceedings{Runyon2011AscitesAS,
  title={Ascites and Spontaneous Bacterial Peritonitis},
  author={Bruce Allen Runyon},
  year={2011}
}
Pathogenesis of Ascites 1517 Cirrhotic Ascites 1517 Noncirrhotic Ascites 1517 Clinical Features 1518 History 1518 Physical Examination 1518 Diagnosis 1519 Abdominal Paracentesis 1519 Ascitic Fluid Analysis 1521 Differential Diagnosis of Ascites 1527 Complications 1528 Ascitic Fluid Infection, Including Spontaneous Bacterial Peritonitis 1528 Cellulitis 1534 Tense Ascites 1535 Pleural Effusions 1535 Abdominal Wall Hernias 1535 Treatment of Ascites 1536 Low-Albumin-Gradient Ascites 1536 High… 
[Ascites, hepatorenal syndrome and spontaneous bacterial peritonitis in patients with portal hypertension].
  • Y. S. Kim
  • Medicine
    The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
  • 2010
TLDR
The diagnostic evaluation of ascites involves an assessment of its etiology by determining the serum-ascites albumin gradient and the exclusion of spontaneous bacterial peritonitis.
Ascites: diagnosis and management.
Cirrhotic ascites review: Pathophysiology, diagnosis and management.
TLDR
The pathophysiology of cirrhotic ascites, common complications derived from it, and pertinent treatment modalities are detailed.
Ascites and spontaneous bacterial peritonitis: Recommendations from two United States Centers
TLDR
Given the burden of liver cirrhosis on the health care system, ascites and SBP will continue to provide challenges for the primary care provider, hospitalist, internist, and gastroenterologist alike.
Causes, management and complications of ascites: a review
TLDR
The most common symptom of Ascites is recent weight gain, increased abdominal girth and dyspnea, and the first line treatment of ascites includes education regarding dietary sodium restriction and oral diuretics.
Pancreatic ascites in the setting of portal hypertension
TLDR
A case of pancreatic ascites developing in the setting of alcoholic liver disease with portal hypertension is discussed, where the patient had features of chronic pancreatitis with pancreatic duct fistula and was managed with stenting of the pancreas.
Spontaneous bacterial peritonitis in the patient presenting with hepatic cirrhosis
The spontaneous bacterial peritonitis (SBP) or spontaneous infection of ascetic fluid (SIAF) is one of the infections affecting frequently to patients presenting with cirrhosis, it may be present in
[A case of Chlamydia trachomatis peritonitis mimicking tuberculous peritonitis].
TLDR
This case suggests that C. trachomatis peritonitis should be considered as a rare cause of low SAAG and lymphocytic ascites in sexually active women and should be intensively evaluated including laparoscopic examination.
Spontaneous Bacterial Peritonitis: An Overview
TLDR
Spontaneous bacterial peritonitis is defined as a bacterial infection, usually monomicrobial, of ascitic fluid, deprived of an evident source of sepsis in the peritoneum or adjacent tissues, arising in subjects with decompensated liver diseases.
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References

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Spontaneous bacterial peritonitis associated with cardiac ascites.
TLDR
Spontaneous bacterial peritonitis most frequently occurs in patients with decompensated cirrhosis of alcoholic or nonalcoholic type and there appear to be no reports of spontaneous bacterial infection developing in cardiac ascites.
Fatal bacterial peritonitis secondary to nonobstructive colonic dilatation (Ogilvie's syndrome) in cirrhotic ascites.
  • B. Runyon
  • Medicine
    Journal of clinical gastroenterology
  • 1986
TLDR
A cirrhotic woman developed pneumococcal pneumonia with sepsis and Autopsy revealed massive cecal mucosal ulceration, which was interpreted as the cause of the bacterial peritonitis.
Does spontaneous bacterial peritonitis occur in malignant ascites?
TLDR
It is believed that the presence of liver disease with less than normally effective hepatic reticuloendothelial function and portasystemic shunting is needed for the development of spontaneous bacterial peritonitis.
Nephrogenic Ascites: Analysis of 16 Cases and Review of the Literature
TLDR
Control of ascites reverses the progressive cachexia associated with uncontrolled disease, resulting in improved quality of life and survival approaching that of end-stage renal disease patients without ascites.
Spontaneous bacterial peritonitis.
TLDR
Symptoms of infection occur in most patients with SBP, including fever, abdominal pain, mental status changes, and ileus, and a high index of suspicion should exist for SBP in patients with cirrhosis and ascites.
Ascitic fluid analysis in malignancy‐related ascites
TLDR
A prospective study identified 45 patients with malignancy‐related ascites among 448 ascites patients and identified five subgroups based on the pathophysiology of ascites formation that had a distinctive ascitic fluid analysis.
Usefulness of serum-ascites albumin difference in separating transudative from exudative ascites
TLDR
Analysis of data confirms with a larger number of patients that the serum-ascites albumin difference is a more reliable indicator of transudative ascites, better termed portal hypertensive ascites.
Spontaneous Salmonella infection of high-protein noncirrhotic ascites.
TLDR
It is hypothesize that the virulence of the Salmonella species was able to overcome the high opsonic activity in the ascitic fluid, resulting in infection in these two patients.
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