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Peritoneal fluid analysis

Definition:

Peritoneal fluid analysis is a test to examine fluid accumulated in the peritoneal space (the abdominal space that houses the gastrointestinal organs). The sample is obtained by an abdominal tap.



How the test is performed:

A sample of fluid is obtained by abdominal tap. The physicians will sterilize and numb a small area of your abdomen with a small needle. Next, a larger needle will be inserted into the peritoneal space and the fluid will be withdrawn.

Occasionally, vacuum bottles are used to draw off large amounts of fluid. The fluid is typically examined in the laboratory for appearance, red and white blood cell counts, protein and albumin, bacteria and fungi. Occasionally, tests for glucose, amylase, ammonia, alkaline phosphatase, LDH, cytology, and other substances are performed.



How to prepare for the test:

You must sign a consent form. Immediately before the abdominal tap, empty your bladder.



How the test will feel:

There may be a stinging sensation from the anesthetic and a feeling of pressure as the needle is inserted. If a large amount of fluid is withdrawn, you may have a feeling of dizziness or light-headedness. Tell the health care provider if you become dizzy.



Why the test is performed:

The test is performed to determine the cause of fluid in the abdomen, to detect whether trauma has caused internal bleeding, to detect a hole in the bladder, and to detect peritonitis.




Review Date: 2/9/2005
Reviewed By: Thomas A. Owens, M.D., Departments of Internal Medicine and Pediatrics, Duke University Medical Center, Durham, NC. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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