Ascitic Fluid Bilirubin Concentration as a Key to Choleperitoneum

  title={Ascitic Fluid Bilirubin Concentration as a Key to Choleperitoneum},
  author={Bruce Allen Runyon},
  journal={Journal of clinical gastroenterology},
  volume={9 5},
Total bilirubin concentration was measured in the ascitic fluid and serum of 65 patients with various types of ascites to determine the normal range of these parameters. The mean (+/- SD) ascitic fluid bilirubin was 0.7 +/- 0.8 mg/dl, and the mean ascitic fluid/serum bilirubin ratio was 0.38 +/- 0.44. Subsequently, I recognized choleperitoneum in a patient with bile-stained ascites preoperatively, because the ascitic fluid bilirubin was 18.5 mg/dl and the ratio was 7.1. Laparotomy documented a… CONTINUE READING

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