Abstract The value and safety of simple needle tap of the abdominal cavity has long been recognized as an aid in the differential diagnosis of the acute abdomen. Despite its value, the procedure has failed to gain general acceptance. This lack of acceptance may be based upon an unjustified fear of puncturing the bowel, or it may be due to the unreliability of former techniques. A survey of the literature combined with our experience in more than 100 cases has served to dispel concern over the rare occurrence of entering the bowel lumen. Diagnostic paracentesis should be considered only as another test to aid in the construction of a more definite, clear-cut clinical picture. This is especially evident in the differential diagnosis of complex or unusual problems associated with intraperitoneal disease or traumatic injury. In many instances the results of a tap are conclusively self-explanatory and the clinical problem is at References 1. Anderson, U. S.: The Study of Peritoneal Exudates , Journal-Lancet 61:430-433 ( (Oct.) ) 1941. 2. Campbell, H. E.: Abdominal Puncture: A Practical Aid in Diagnosis , Rocky Mountain M. J. 43:305-307 ( (April) ) 1946. 3. Cole, W. H.: Pneumococcus Peritonitis , Surgery 1:386-394 ( (March) ) 1937. 4. Denzer, B. S.: A New Method of Diagnosis of Peritonitis in Infancy and Childhood: Preliminary Report , Am. J. Dis. Child. 20:113-114 ( (Aug.) ) 1920.Crossref 5. Denzer, B. S.: Abdominal Puncture in the Diagnosis of Peritonitis in Childhood , J. Pediat. 8:741-747 ( (June) ) 1936.Crossref 6. Frink, N. W.: Abdominal Puncture as a Diagnostic Aid , Permanente Found. M. Bull. 4:129-133 ( (July) ) 1946. 7. Henry, C. M., and Vale, C. F.: Abdominal Puncture as a Diagnostic Aid , Surgery 14:574-577 ( (Oct.) ) 1943. 8. Hill, F. C.; O'Loughlin, B. J., and Stoner, M.: Peritoneal Aspiration in the Diagnosis of Strangulated Bowel , Surg. Gynec. & Obst. 74:121-123 ( (Jan.) ) 1942. 9. Hilliard, G. W., and Nash, H. E., Jr.: Cellular Composition of the Peritoneal Fluid in DBA Mice After Intraperitoneal Injection of Normal and Malignant Human Cells , J. Lab. & Clin. Med. 38:846-849 ( (Dec.) ) 1951. 10. Horsley, J. S.: Peritonitis , Arch. Surg. 36:190-224 ( (Feb.) ) 1938. 11. Kaufman, L. R.; Eckes, W. P., and Mule, J.: Peritoneal Tap , Arch. Surg. 49:39-43 ( (July) ) 1944. 12. Keith, L. M., Jr.; Zollinger, R. M., and McCleery, R. S.: Peritoneal Fluid Amylase Determinations as an Aid in Diagnosis of Acute Pancreatitis , Arch. Surg. 61:930-936 ( (Nov.) ) 1950. 13. Ladd, W. E.; Botsford, T. W., and Curnen, E. C.: Primary Peritonitis in Infants and Children: A More Effective Treatment , J. A. M. A. 113:1455-1459 ( (Oct. 14) ) 1939. 14. Meeroff, M.: Diagnostic Puncture of the Abdomen , Presna méd. argent. 37:2748-2753 ( (Nov. 10) ) 1950. 15. Moretz, W. H., and Erickson, W. G.: Peritoneal Tap as an Aid in Diagnosis of Acute Abdominal Disease , Am. Surgeon 20:363-377 ( (April) ) 1954. 16. Neuhof, H., and Cohen, I.: Abdominal Puncture in the Diagnosis of Acute Intraperitoneal Disease , Ann. Surg. 83:454-462 ( (April) ) 1926. 17. di Paola, G.: Diagnostic Puncture in Gynecology , Día méd. 19:2461-2467 ( (Dec. 22) ) 1947. 18. Pfeffer, R. B.; Mixter, G., and Hinton, J. W.: Acute Hemorrhagic Pancreatitis: A Safe. Effective Technique for Diagnostic Paracentesis , Surgery 43:550-554 ( (April) ) 1958. 19. Scott, H. G., and Wangensteen, O. H.: Length of Life Following Various Types of Strangulation Obstruction in Dogs , Proc. Soc. Exper. Biol. & Med. 29:424-427 ( (Jan.) ) 1932. 20. Salomon, H.: The Diagnostic Puncture of the Abdomen , Berl. klin. Wchnschr. 43:45-46, 1906. 21. Steinberg, B.: Peritoneal Exudate: A Guide for the Diagnosis and Prognosis of Peritoneal Conditions , J. A. M. A. 116:572-578 ( (Feb. 15) ) 1941.Crossref 22. Thompson, C. T., and Brown, D. R.: Diagnostic Paracentesis in the Acute Abdomen , Surgery 35:916-919 ( (June) ) 1954. 23. Touroff, A. S. W.: Peritoneal Aspiration as Aid in the Diagnosis of Acute Appendicitis , S. Clin. North America 19:287-294 ( (April) ) 1939. 24. Villafane, I. Z.: Diagnostic Puncture of Abdomen , Bol. y trab., Soc. argent. cirujanos 5:1160-1161, 1944. 25. Villafane, I. Z.: Abdominal Puncture in the Diagnosis and Evaluation of Acute Pancreatitis , Prensa méd. argent. 34:2337-2339 ( (Dec. 5) ) 1947. 26. Villafane, I., and Maggi, O.: Abdominal Puncture in the Diagnosis of False Acute Abdomen , Bol. y trab., Soc. argent cirujanos 9:206-223. 1948. 27. Wangensteen, O. H.: Intestinal Obstructions: A Physiological and Clinical Consideration with Emphasis on Therapy; Including Description of Operative Procedures , Ed. 2, Springfield, Ill., Charles C Thomas, Publisher, 1942, pp. 57, 115. 28. Weakley, S. D., Jr., and Clegg, C. B.: Diagnostic Value of Paracentesis in the Acute Surgical Condition of the Abdomen , Am. J. Surg. 93:802-806 ( (May) ) 1957.Crossref
A.M.A. Archives Surgery – American Medical Association
Published: Dec 1, 1958
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera