PMID: 6164430Apr 1, 1981Paper

Diagnostic peritoneal lavage in acute pancreatitis--the value of microscopy of the lavage fluid

The British Journal of Surgery
J A BradleyM J McMahon

Abstract

In only 2 of 98 cases with a clinical diagnosis of acute pancreatitis submitted to peritoneal lavage in order to assess severity was the diagnosis found to be wrong. These two cases (one was biliary peritonitis and the other mesenteric infarction) were not differentiated from severe pancreatitis by clinical examination, measurement of plasma amylase, the appearance of the lavage fluid or its amylase or white cell count. One case was exceptional in that the lavage fluid had a faecal odour, and both cases were found to have large numbers of intestinal organisms which were clearly visible on routine microscopy. Scanty commensals (? contaminants) were seen in the lavage fluid of 2 of the 96 patients with acute pancreatitis but no intestinal organisms were found. If peritoneal lavage is used in the management of acute pancreatitis, microscopy of the lavage fluid, carried out as an emergency investigation, might help to detect the occasional case with a false diagnosis.

References

Nov 26, 1977·British Medical Journal·I R PickfordM J McMahon
Dec 1, 1976·Gut·G ReadH T Howat
Jun 1, 1975·The British Journal of Surgery·C W Imrie, A S Whyte
Feb 1, 1975·The British Journal of Surgery·C EvansA V Pollock
Jun 1, 1975·Annals of Surgery·C L Barbee, R B Gilsdorf
Jan 1, 1971·American Journal of Surgery·J WhalenE Lazaro
Jan 1, 1980·The British Journal of Surgery·M J McMahonI R Pickford
Nov 1, 1950·A.M.A. Archives of Surgery·L M KEITHR S McCLEERY

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Citations

Dec 1, 1984·Current Problems in Surgery·A L Warshaw, J M Richter
Dec 1, 1984·The Australian and New Zealand Journal of Surgery·R J StewartW H Isbister
Jan 1, 1995·The Journal of Trauma·D W MozingoB A Pruitt
Mar 1, 1986·The British Journal of Surgery·C Wilson, C W Imrie
Jan 1, 1983·Scandinavian Journal of Gastroenterology·L KivisaariM Lempinen

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