Cirrhotic and malignant ascites: Differential CT diagnosis

Diagnostic and Interventional Imaging

Volumn 93, Issue 5, 2012, Pages 365-370

  Risson, J R ^a   MacOvei, I ^a   Loock, M ^b   Paquette, B ^a   Martin, M ^a   Delabrousse, E ^a  

^a UNIVERSITY HOSPITAL JEAN MINJOZ   (France)

^b SERVICE DE DERMATOLOGIE   (France)

Author keywords

Ascites; Cirrhosis; CT; Peritoneal carcinomatosis; Portal hypertension

Indexed keywords

ADULT; AGED; ARTICLE; ASCITES; ASCITES FLUID LEVEL; COMPUTED TOMOGRAPHY SCANNER; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; FEMALE; GALLBLADDER; HUMAN; LIVER CIRRHOSIS; MAJOR CLINICAL STUDY; MALE; MALIGNANT ASCITES; OMENTUM; PERITONEAL CAVITY; CARCINOMA; DIFFERENTIAL DIAGNOSIS; MIDDLE AGED; PERITONEUM TUMOR; RADIOGRAPHY; RETROSPECTIVE STUDY;

ADULT; AGED; AGED, 80 AND OVER; ASCITES; CARCINOMA; DIAGNOSIS, DIFFERENTIAL; FEMALE; HUMANS; LIVER CIRRHOSIS; MALE; MIDDLE AGED; PERITONEAL NEOPLASMS; RETROSPECTIVE STUDIES; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84868651025     PISSN: 22115684     EISSN: 22115684     Source Type: Journal    
DOI: 10.1016/j.diii.2012.02.008     Document Type: Article

References (24)

1. Reynolds TB. Ascites. Clin Liver Dis 2000;4:151-68 [vii].
2. Runyon BA, Montano AA, Akriviadis EA, Antillon MR, Irving MA, McHutchison JG. The serum-ascites albumin gradient is superior to the exudate-transudate concept in the differential diagnosis of ascites. Ann Intern Med 1992;117:215-20.
3. European Association for the Study of the Liver. EASL clinical practice guidelines on the management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrome in cirrhosis. J Hepatol 2010;53:397-417.
4. Moore KP, Wong F, Gines P, Bernardi M, Ochs A, Salerno F, et al. The management of ascites in cirrhosis: report on the consensus conference of the International Ascites Club. Hepatology 2003;38:258-66.
5. Jolles H, Coulam CM. CT of ascites: differential diagnosis. AJR Am J Roentgenol 1980;135:315-22.
6. Walkey MM, Friedman AC, Sohotra P, Radecki PD. CT manifestations of peritoneal carcinomatosis. AJR Am J Roentgenol 1988;150:1035-41.
7. Gore RM, Callen PW, Filly RA. Lesser sac fluid in predicting the etiology of ascites: CT findings. AJR Am J Roentgenol 1982;139:71-4.
8. Christou L, Economou M, Economou G, Kolettis TM, Tsianos EV. Characteristics of ascitic fluid in cardiac ascites. Scand J Gastroenterol 2007;42:1102-5.
9. Runyon BA. Cardiac ascites: a characterization. J Clin Gastroenterol 1988;10:410-2.
10. Alexandrakis MG, Moschandrea JA, Koulocheri SA, Kouroumalis E, Eliopoulos GD. Discrimination between malignant and nonmalignant ascites using serum and ascitic fluid proteins in a multivariate analysis model. Dig Dis Sci 2000;45:500-8.
11. Cooper C, Silverman PM, Davros WJ, Zeman RK. Delayed contrast enhancement of ascitic fluid on CT: frequency and significance. AJR Am J Roentgenol 1993;161:787-90.
12. Benedetti N, Aslam R, Wang ZJ, Joe BN, Fu Y, Yee J, et al. Delayed enhancement of ascites after i.v. contrast material administration at CT: time course and clinical correlation. AJR Am J Roentgenol 2009;193:732-7.
13. Tsujimoto F, Miyamoto Y, Tada S. Differentiation of benign from malignant ascites by sonographic evaluation of gallbladder wall. Radiology 1985;157:503-4.
14. Sari R, Yildirim B, Sevinc A, Bahceci F, Hilmioglu F. Gallbladder contractility in patients with cirrhotic versus malignant ascites. J Clin Ultrasound 2002;30:477-80.
15. Noone TC, Semelka RC, Chaney DM, Reinhold C. Abdominal imaging studies: comparison of diagnostic accuracies resulting from ultrasound, computed tomography, and magnetic resonance imaging in the same individual. Magn Reson Imaging 2004;22:19-24.
16. Brook OR, Kane RA, Tyagi G, Siewert B, Kruskal JB. Lessons learned from quality assurance: errors in the diagnosis of acute cholecystitis on ultrasound and CT. AJR Am J Roentgenol 2011;196:597-604.
17. Buhac I, Jarmolych J. Histology of the intestinal peritoneum in patients with cirrhosis of the liver and ascites. Am J Dig Dis 1978;23:417-22.
18. Buhac I. Biopsy of the peritoneum in decompensated cirrhosis of the liver. Am J Gastroenterol 1981;76:32-4.
19. Yeh HC, Wolf BS. Ultrasonography in ascites. Radiology 1977;124:783-90.
20. Seltzer SE. Analysis of the tethered-bowel sign on abdominal CT as a predictor of malignant ascites. Gastrointest Radiol 1987;12:245-9.
21. Régent D, Laurent V, Cannard L, Leclerc JC, Tissier S, Nicolas M. Le péritoine « témoin » de la pathologie abdominopelvienne. J Radiol 2004;85:555-71.
22. Taourel P, Baud C, Lesnik A, Le Guen V, Pujol J, Bruel JM. Le péritoine acteur de la pathologie abdominale. J Radiol 2004;85:574-90.
23. Saadate-Arab M, Troufleau P, Stines J, Netter E, Régent D. Imagerie des carcinomatoses péritonéales. Feuillets de Radiologie 1997;37:250-67.
24. Parsons SL, Watson SA, Steele RJC. Malignant ascites. Br J Surg 1996;83:6-14.