Albumina soro gradiente (SAAG) 2. Concetração de amilase 3. Concentração de triglicérides 4. Contagem dos glóbulos vermelhos 5. Cultura para infecções. Apresentou gradiente de albumina soro-as-cite inferior a 1,1 g/dL, e citologia positiva Ascites is the first evidence of peritoneal carcinomatosis in up to 54% of. The first is that of a year-old woman with abdominal pain, ascites, de 5,6 g /L e albumina de 3,2 g/L com Gradiente Albumina Soro – Ascite (GASA) de 0,1.

Author: Dijar Mazuru
Country: China
Language: English (Spanish)
Genre: Sex
Published (Last): 3 August 2007
Pages: 241
PDF File Size: 4.42 Mb
ePub File Size: 9.99 Mb
ISBN: 530-8-17467-528-7
Downloads: 24325
Price: Free* [*Free Regsitration Required]
Uploader: Nektilar

At present, five studies 9, 15, 29, 43, 46 have demonstrated the importance of renal function in disease progression and survival of patients with cirrhosis and SBP.

This rare tumor was first described by Werth in ; it often affects patients who are years of age and is associated with appendiceal or ovarian masses. Computed tomographic features of omental cake are variable and diverse causes are involved. If there is no decrease in body weight or increase in urinary sodium excretion after two or three days, the doses of both drugs should be increased.

When all cases of infection are considered, we realize that, infrequently, cultures for bacteria were positive, and three of five cases of positivity occurred in urine culture.

In case of infection, prophylaxis was discontinued and the choice of antibiotic was made by the assistant group. Despite the favorable results in studies evaluating this form of prophylaxis 17, 32, 42the lack of an unequivocal benefit in survival, the inconsistency of the groups studied, and the emergence of resistant bacteria have rendered the indication of primary prophylaxis of SBP disputable.


A patient could be included in more than one category. However, they can be detected in various malignancies such as cervical and tubal carcinoma, central nervous system meningioma, duodenal carcinoid, endometrial adenocarcinoma, gastric adenocarcinoma, pancreatic somatostatinoma, prolactinoma, ovarian adenocarcinoma, breast, renal cell and thyroid carcinoma, and pleural as well as peritoneal mesotheliomas.

However, when the discriminative level of 1. Thus, low-protein ascitic fluid below 1. Recurrence of spontaneous bacterial peritonitis in cirrhosis: Management of adult patients with ascites due to cirrhosis. Her initial blood parameters were not remarkable Table 1. Fisher’s exact test was used for variables with non-parametric distribution, and Pearson’s correlation for multiple comparisons between the means.

Bacterial infections are a serious problem affecting patients with liver cirrhosis, as this group is considered extremely susceptible to infections. Anyway, given the number of patients involved, it is hard to make comments about bacterial resistance. However hospitalization may be necessary in three situations: For investigations of the cause of liver disease; 2.

This tumor was first described by Swerdlow in Given the prevalence and the limited prognosis related to SBP in the patient with CLD and ascites, it is crucial to avoid it during the natural history of alumina disease. A common criticism regarding prophylactic efforts, particularly primary ones, concerns the heterogeneity of populations, which present risk factors of different magnitudes, the least significant one being the degree of hyperbilirubinemia.

Revista Brasília Médica

Side effects occurred only in the trimethoprim-sulfamethoxazole group. The extraperitoneal infections which most commonly affect cirrhotic patients are those of the urinary and respiratory tracts and of the skin, as well as sepsis of unknown origin 5, Int J Clin Exp Pathol. The groups did not differ in survival, as reported in all other studies of primary and secondary prophylaxis of SBP 16, 17, 35, 41, Fluid restriction is only necessary if the serum sodium concentration drops below mmol per liter.


Significance of psammoma bodies in serous cavity fluid: New England Journal of Medicine This histopathological finding is more often reported in association with gastric adenocarcinoma, but it has been described in various other tumors.

This year-old woman had a hard abdominal mass; high levels of CA, and CT scan images of omental cake. Trimethoprim-sulfamethoxazole versus norfloxacin in the prophylaxis of spontaneous bacterial peritonitis in cirrhosis.

A 74-year-old woman with peritoneal carcinomatosis: diagnosis challenges

Albumina soro gradiente SAAG 2. Extra-gastrointestinal stromal tumor of the omentum: Caly WR, Strauss E. A year-old woman was hospitalized for investigation of a progressive loss of weight and increasing abdominal volume. Bacterial infections in liver disease.

Antibiotic prophylaxis for the prevention of bacterial infections in cirrhotic patients with ascites: The most frequent infection observed in this study was SBP, and the most common extraperitoneal infection was urinary infection as seen in other series of SBP prophylaxis 13, 17, 32,

No Comments

Categories: Literature