uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Abdominal tenderness in ascites patients indicates spontaneous bacterial peritonitis
Show others and affiliations
2007 (English)In: European journal of internal medicine, ISSN 0953-6205, E-ISSN 1879-0828, Vol. 18, no 1, 44-47 p.Article in journal (Refereed) Published
Abstract [en]

Background: Spontaneous bacterial peritonitis (SBP), which has been reported to be present in 10-30% of patients with cirrhotic ascites, may easily be overlooked. An important aim of our study was to determine whether there are any clinical signs which, in clinical practice, may predict or exclude SBP. Methods: We studied 133 patients with cirrhotic ascites from medical units at nine Swedish university hospitals where there had been at least one diagnostic ascites tap with analysis of polymorphonuclear leukocytes in the ascites fluid. The patients had initially been questioned about background factors and physically examined according to a standardized case record form. Samples of blood, urine, and ascites were then drawn for analysis according to a structured schedule. Results: SBP could be excluded in 80% of all the cases and was confirmed in 8% of the 133 patients in the final analysis. Abdominal pain and abdominal tenderness were more common in patients with SBP (p < 0.01), but no other physical sign or laboratory test could separate SBP cases from the others. Conclusions: SBP was present in about one-tenth of the hospitalized patients with cirrhotic ascites in this cohort. Performing repeated physical examinations and paying particular attention to abdominal tenderness may be the best way to become aware of the possible development of this complication.

Place, publisher, year, edition, pages
2007. Vol. 18, no 1, 44-47 p.
Keyword [en]
Cirrhosis, Diagnosis, Signs, Spontaneous bacterial peritonitis, Symptoms
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-11377DOI: 10.1016/j.ejim.2006.07.022ISI: 000244112700009PubMedID: 17223042OAI: oai:DiVA.org:uu-11377DiVA: diva2:39146
Available from: 2007-09-11 Created: 2007-09-11 Last updated: 2011-02-15Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Lööf, Lars
By organisation
Centre for Clinical Research, County of Västmanland
In the same journal
European journal of internal medicine
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 177 hits
ReferencesLink to record
Permanent link

Direct link