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[Computed tomography in ascites].

D Brindicci1, G C Ettorre, G Francioso

  • 1Istituto di Radiologia, Università, Bari.

La Radiologia Medica
|December 1, 1990
PubMed
Summary
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Computed tomography (CT) can detect ascites, which is fluid in the abdomen. The presence of a coexisting mass on CT scans is the only reliable indicator of malignant ascites.

Area of Science:

  • Radiology
  • Oncology
  • Gastroenterology

Background:

  • Ascites, fluid accumulation in the peritoneal cavity, is associated with various diseases.
  • It can signify a late complication or a primary clinical manifestation of a pathological condition.
  • Computed tomography (CT) is effective in detecting even small fluid collections in the peritoneal space.

Purpose of the Study:

  • To evaluate the contribution of CT in differentiating benign from malignant ascites.
  • To assess the predictive value of CT findings for the nature of ascites.

Main Methods:

  • Retrospective review of CT scans from 100 patients with histologically confirmed ascites.
  • Analysis of CT findings to determine their correlation with the benign or malignant nature of ascites.

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Main Results:

  • CT can readily detect ascites, including small fluid collections.
  • The presence of a coexisting mass on CT was the sole highly predictive finding for malignant ascites.
  • Other CT findings were insufficient to reliably discriminate between benign and malignant ascites.

Conclusions:

  • CT is a valuable tool for ascites detection.
  • The identification of a coexisting mass on CT is crucial for diagnosing malignant ascites.
  • Further research may be needed to identify additional CT indicators for differentiating ascites types.