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Percutaneous needle biopsy in exudative ascites
JPMA. the Journal of the Pakistan Medical Association
|November 1, 1996
Summary
Percutaneous needle biopsy of the peritoneum is a safe and effective diagnostic tool for exudative ascites. This procedure yielded a 64% diagnostic rate, identifying common causes like granuloma and metastatic carcinoma.
Area of Science:
- Gastroenterology and Hepatology
- Oncology
- Pathology
Background:
- Exudative ascites diagnosis often requires invasive procedures.
- Peritoneal biopsy is a potential diagnostic method for ascites of unknown origin.
Purpose of the Study:
- To evaluate the diagnostic yield and safety of percutaneous needle biopsy of the peritoneum in patients with exudative ascites.
Main Methods:
- Seventy-two patients with exudative ascites underwent percutaneous needle biopsy of the peritoneum.
- The procedure was performed bedside.
Main Results:
- The overall diagnostic yield was 64%.
- The most frequent findings were caseous granuloma (39%) and metastatic carcinoma (25%).
- Peritoneal tissue was successfully obtained in all patients without major complications.
Conclusions:
- Percutaneous needle biopsy of the peritoneum is a safe, easy, and effective bedside procedure for diagnosing exudative ascites.
- It provides a significant diagnostic yield, identifying key pathologies such as granulomatous disease and malignancy.