Teaching Points: Appropriate Evaluation of Ascitic Fluid in an Acutely Ill Cirrhotic PatientCorrespondence Address :
Dr. William G Simpson,
PO Box 500, Tahlequah, Oklahoma-74464, USA.
Spontaneous Bacterial Peritonitis (SBP) is a serious and dangerous complication of cirrhosis with portal hypertension. Prompt diagnosis mandates paracentesis with appropriate handling and evaluation of ascitic fluid obtained. A 37-year-old female with cirrhosis and portal hypertension, with a history of SBP, presented with abdominal pain and encephalopathy. With medical management the encephalopathy cleared and the patient was able to return home. The presented clinical scenario provides valuable teaching insight into the need to appropriately evaluate such a patient with the mandate to diagnose spontaneous peritonitis promptly. Timely evaluation and appropriate management offers clinicians an opportunity to reduce morbidity and mortality in patients with advanced liver disease.
Ascites, Cirrhosis, Spontaneous bacterial peritonitis
Laila Khan, William G Simpson. TEACHING POINTS: APPROPRIATE EVALUATION OF ASCITIC FLUID IN AN ACUTELY ILL CIRRHOTIC PATIENT. Journal of Clinical and Diagnostic Research [serial online] 2019 August [cited: 2019 Aug 20 ]; 13:OH01-OH02. Available from
Date of Submission: Apr 30, 2019
Date of Peer Review: Jun 13, 2019
Date of Acceptance: Jul 04, 2019
Date of Publishing: Aug 01, 2019
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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