Asghar Anjum, Brig Muhammad Naeem Khan.
Peritoneal biopsy.
Professional Med J Jan ;12(3):281-6.

The objective of this study was to access the role of peritoneal biopsy in patients with exudative ascities. 30 patients with exudative ascities were studied at Military Hospital Rawalpindi and Combined Military Hospital Rawalpindi. In all patients peritoneal biopsy was done by open method. Biopsy was suggestive in 16 patients .In 9 patients it showed chronic granulomatous inflammation and in 7 patients it was suggestive of abdominal malignancy, in rest of the patients it was nonspecific .In the last group of patients four patients were given a trail of ATT to which they responded. The condition was more common in females (71.4%), and tuberculosis involved women in childbearing age while malignancy mostly in 6th and seventh decade.100% patients presented with abdominal distention and only 30% with abdominal pain. Other symptoms were loss of appetite, shortness of breath, easy fatiguability and fever .We conclude that peritoneal biopsy is a safe and reliable method of diagnosis for patients with exudative ascities and should be done in every case if the patient’s condition permits. Although in very sick patients a trial of ATT can be given and should be continued.

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