• Subgroup analysis shows if MGC was combined with ascites or peritoneal involvement, the OS of the RP regimen was longer (P = 0.05). (bvsalud.org)
  • CONCLUSIONS: Second-line palliative chemotherapy with RP was shown to prolong the PFS and OS, especially among patients with ascites or peritoneal involvement, which warrants confirmation using larger sample studies. (bvsalud.org)
  • While a CT may be able to directly visualize breaks in the bladder wall, findings are usually more non-specific: free fluid, ascites, or bladder wall enhancement. (emdocs.net)
  • Plain abdominal radiograph in a 9-year-old patient with a past history of appendicitis complicated by peritonitis who presented with abdominal pain and vomiting. (medscape.com)
  • Acute appendicitis remains one of the most common surgical diseases encountered by physicians. (medscape.com)
  • Consider the risk of contrast-induced nephropathy in patients with chronic kidney disease. (medscape.com)
  • This plain abdominal radiograph of a 55-year-old woman presenting with features of intestinal obstruction shows dilated loops of the small bowel associated with thickened edematous valvulae conniventes and a strangulated left inguinal hernia (arrow). (medscape.com)
  • [ 4 . 5 ] Adding to the challenge, classic lymphoglandular bodies, representing remnants of lymphocyte cytoplasm, are typically inconspicuous or absent in effusion fluids, in contrast to FNA material from solid specimens. (cytojournal.com)
  • They demonstrate various contrast enhancement patterns including early peripheral enhancement because of vascular tissue ( Figure 1 ), delayed central enhancement of the fibrotic components, heterogenous, homogenous and absent enhancement. (sajr.org.za)
  • In large cell lymphoma and leukemia cells involvement of body fluid this concept becomes less challenging. (cytojournal.com)
  • Other findings include a visible bowel wall lesion, "misty" mesentery, intestinal pneumatosis, free fluid, and extraluminal fecal matter. (emdocs.net)
  • In this article we will discuss the congenital gastrointestinal obstructions and also some acquired diseases that present as an acute abdomen in the neonate. (radiologyassistant.nl)
  • If the chest is to be studied, images are obtained in the arterial phase of contrast enhancement, followed by a pause sufficiently long to image the abdomen and pelvis in the late arterial or early portal venous phase. (radiologykey.com)
  • Peritoneal fluid detected on a CT scan was identified as an independent predictor of surgical intervention. (medscape.com)
  • On day 2 in the surgical ICU he develops a fever and peritonitis. (emdocs.net)
  • However, a subgroup of patients presents a clinically aggressive course with disease progression despite receiving treatment. (rare-cancer.org)
  • CT plays an essential role in the diagnosis of mesenteric disease. (sajr.org.za)
  • Some mesenteric diseases present with distinctive imaging findings while others have similar findings, thereby complicating their differential diagnosis. (sajr.org.za)
  • The role of serum procalcitonin (PCT) and C-reactive protein (CRP) levels in the diagnosis of spontaneous bacterial peritonitis (SBP) with decompensated chronic liver disease (CLD) has been a subject of debate. (bvsalud.org)
  • We discuss 20 additional cases of pediatric primary peritonitis caused by GAS among patients at Starship Children's Hospital, Auckland, New Zealand, during 2010-2022. (cdc.gov)
  • Anorexia, nausea, and vomiting are typically associated with the disease. (medscape.com)
  • Histologic analysis reveals a thickened sub apical collagen layer and increased lymphocytes in the lamina propria. (passmed.uk)
  • We compare identified cases of GAS primary peritonitis to cases described in the existing pediatric literature. (cdc.gov)
  • Evaluation of the mesentery is often neglected during routine ultrasound (US) because of inadequate training and unfamiliarity with the common US features encountered with mesenteric disease. (sajr.org.za)
  • It is characterised by normal endoscopic appearances, microscopic features of colonic inflammation and thickening of the sub epithelial collagen layer. (passmed.uk)
  • Massive dilatation is seen in complete obstruction and is accompanied by fluid levels on the dorsal decubitus radiograph. (radiologyassistant.nl)
  • However, fluid levels alone do not necessarily correspond to dilatation, but rather reflect abnormal peristalsis. (radiologyassistant.nl)
  • Mucinous carcinomatosis is the most likely diagnosis of cystic peritoneal masses. (radiologyassistant.nl)
  • Pseudomyxoma peritonei is less common, but looks quite similar to peritoneal carcinomatosis. (radiologyassistant.nl)
  • The extent of peritoneal disease with bilateral ovarian masses is certainly concerning for carcinomatosis at first glance. (radiopaedia.org)
  • We will discuss the differential diagnosis of cystic and solid peritoneal and mesenteric masses. (radiologyassistant.nl)
  • The first step when diagnosing peritoneal or mesenteric masses is to separate them into cystic and solid. (radiologyassistant.nl)
  • A moderate amount of peritoneal effusion was also detected with hyperechoic omental and mesenteric fat tissue throughout the peritoneal cavity. (scirp.org)
  • Multirow helical detector CT scans are capable of scanning the abdomen in less than 30 seconds and can detect free air, free fluid, abnormal bowel wall enhancement, bowel wall thickening, and mesenteric infiltration. (medscape.com)
  • Is the most common peritoneal solid mass resulting from ovarian or gastrointestinal cancer. (radiologyassistant.nl)
  • Hartung M, Tuberculous tubo-ovarian abscess and peritonitis. (radiopaedia.org)
  • u003c/p\u003e","gb":"\u003cp\u003eLarge bilateral irregular, lobulated, enhancing adnexal masses, The left has a tubular component which is thickened, and hyperenhancing, coursing along the medial periphery of what is likely the ovarian component. (radiopaedia.org)
  • Axial CT through the abdomen shows focal gas bubbles (red arrow) and anextraluminal fluid collection (blue arrow) adjacent to the contrast-filled colon. (medscape.com)
  • Secondly we have to realize that any loculated fluid collection due to infection, i.e. abscess or as a result of pancreatitis, perforation or bile peritonitis can simulate a cystic mass. (radiologyassistant.nl)
  • Culture/Gram stain: Culture has a 92% sensitivity for the detection of bacteria in ascitic fluid, provided that samples are inoculated into blood culture bottles immediately, at the bedside. (medscape.com)
  • In contrast, Gram stain is only 10% sensitive for visualizing bacteria in early-detected spontaneous bacterial peritonitis. (medscape.com)
  • the median concentration of bacteria in spontaneous bacterial peritonitis is 1 organism/mL. (medscape.com)
  • Peritoneal fluid cultures were made, and parts of the necrotic small and large bowel were sent to pathology. (hindawi.com)
  • Preliminary results of the peritoneal fluid cultures showed gram-negative rods and hyphae compatible with those of the Mucorales, the latter being initially considered a probable laboratory contaminant given the favorable clinical evolution of the patient at this point. (hindawi.com)
  • Consider the risk of contrast-induced nephropathy in patients with chronic kidney disease. (medscape.com)
  • In all three cases, ultrasonographic findings included segmental ileus and absent or markedly reduced peristalsis of the affected small intestine, and partial loss of wall layering with increased overall echogenicity of the intestinal wall, but with normal to mildly increased wall thickening. (scirp.org)
  • Serosal thickening/hyperenhancement of the small bowel diffusely. (radiopaedia.org)
  • We discuss 20 additional cases of pediatric primary peritonitis caused by GAS among patients at Starship Children's Hospital, Auckland, New Zealand, during 2010-2022. (cdc.gov)
  • We compare identified cases of GAS primary peritonitis to cases described in the existing pediatric literature. (cdc.gov)
  • Peritoneal inclusion cyst is a less common benign primary peritoneal tumor. (radiologyassistant.nl)
  • Cell count: Normal ascitic fluid contains fewer than 500 leukocytes/µL and fewer than 250 polymorphonuclear leukocytes (PMNs)/µL. (medscape.com)
  • A minimum of 10,000 red blood cells/µL is required for ascitic fluid to appear pink, and more than 20,000 red blood cells/µL will produce distinctly blood-tinged fluid. (medscape.com)
  • Nontraumatic bloody fluid is homogeneously red and does not clot because the blood has already clotted and lysed. (medscape.com)
  • In support of improving patient care, this activity has been planned and implemented by Medscape, LLC and Emerging Infectious Diseases. (cdc.gov)
  • An abundant quantity of nonpurulent but foul-smelling fluid was recovered during the surgery but without any frank fecal peritonitis (Figure 2(b) ). (hindawi.com)
  • An abundant quantity of nonpurulent but foul-smelling fluid was recovered during the surgery. (hindawi.com)
  • Total protein: In the past, ascitic fluid has been classified as an exudate if the protein level is greater than or equal to 2.5 g/dL. (medscape.com)