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Needle Biopsy of Peritoneum in Exudative Ascites

Needle Biopsy of Peritoneum in Exudative Ascites Abstract IT IS often difficult to establish a diagnosis in patients presenting with exudative ascites. Cytopathology may establish the diagnosis in the presence of malignancy, but most institutions are not able to approach the 86% accuracy achievable under ideal conditions.1 Tuberculosis of the peritoneum presents an even greater problem since bacteriologic confirmation is usually not possible.2,3 In the past, the etiology of most cases of exudative ascites, particularly those of tuberculous etiology, has been established by surgical exploration or laparoscopy.4,5 Needle biopsy of the peritoneum is an easy, safe procedure.6 The first report of needle biopsy of the peritoneum by Donohoe et al7 contains an excellent discussion of the rationale for the employment of this new technique. The authors used a modified Vim-Silverman needle and achieved the correct histologic diagnosis in seven of 14 patients studied. Despite the fact that there were no complications and the References 1. Von Haam, E.: A Comparative Study of the Accuracy of Cancer Cell Detection by Cytological Method , ACTA Cytologica 6:508-518, 1962. 2. Burack, S.R., and Hollister, R.M.: Tuberculous Peritonitis , Amer J Med 28:510-523, 1960.Crossref 3. Sochocky, S.: Tuberculous Peritonitis , Amer Rev Resp Dis 95:398-401, 1967. 4. Villa, F., et al: Peritoneoscopy in Obscure Abdominal Diseases , Amer J Gastroent 40:363-371, 1963. 5. Gonnella, J.S., and Hudson, E.K.: Clinical Patterns of Tuberculous Peritonitis , Arch Intern Med 117:164-169, 1966.Crossref 6. Trujillo, N.P., and Donohoe, R.F.: Needle Biopsy of the Peritoneum , Amer J Med Sci 249: 186-189, 1965.Crossref 7. Donohoe, R.F.; Schnider, B.I.; and Gorman, J.: Needle Biopsy of the Peritoneum , Arch Intern Med 103:739-745, 1959.Crossref 8. Sarin, L.R.; Mehta, S.R.; and Sharma, S.K.: Diagnosis of Abdominal Tuberculosis: A Critical Evaluation of Various Techniques With Particular Reference to Peritoneal Biopsy , Indian J Med Sci 18:319-327, 1964. 9. Jain, S.C., et al: Peritoneal Biopsy in Ascites , J Indian Med Assoc 43:219-224, 1964. 10. Mehotra, M.P., et al: Percutaneous Biopsy of Peritoneum as a Diagnostic Aid in Cases of Ascites , J Indian Med Assoc 43:319-321, 1964. 11. Viranuvatti, V., et al: Peritonial Biopsy Experience With Blind and Direct Vision Biopsy , Amer J Proctol 17:488-492, 1966. 12. Silverman, I.: New Biopsy Needle , Amer J Surg 40:671-672, 1938.Crossref 13. Abrams, L.D.: A Pleural Biopsy Punch , Lancet 1:30-31, 1958.Crossref 14. Levine, H., and Cugell, D.W.: Blunt-End Needle Biopsy of Pleura and Rib , Arch Intern Med 109:62-71, 1962.Crossref 15. Cope, D., and Bernhardt, H.: Hook-Needle Biopsy of Pleura, Pericardium, Peritoneum and Synovium , Amer J Med 35:189-195, 1963.Crossref 16. Levine, H.: Modern Concepts in the Diagnosis of Tuberculous Peritonitis , Curr Concepts Chest Dis vol 4, (Feb) , 1967. 17. Levine, H.: Needle Biopsy Diagnosis of Tuberculosus Peritonitis, abstracted , Amer Rev Resp Dis 94:466, 1966. 18. Haley, H.B., et al: Ascites and Intestinal Obstruction in Myxedema , Arch of Surg 85:328-333, 1962.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Needle Biopsy of Peritoneum in Exudative Ascites

Archives of Internal Medicine , Volume 120 (5) – Nov 1, 1967

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Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1967.00300040026004
Publisher site
See Article on Publisher Site

Abstract

Abstract IT IS often difficult to establish a diagnosis in patients presenting with exudative ascites. Cytopathology may establish the diagnosis in the presence of malignancy, but most institutions are not able to approach the 86% accuracy achievable under ideal conditions.1 Tuberculosis of the peritoneum presents an even greater problem since bacteriologic confirmation is usually not possible.2,3 In the past, the etiology of most cases of exudative ascites, particularly those of tuberculous etiology, has been established by surgical exploration or laparoscopy.4,5 Needle biopsy of the peritoneum is an easy, safe procedure.6 The first report of needle biopsy of the peritoneum by Donohoe et al7 contains an excellent discussion of the rationale for the employment of this new technique. The authors used a modified Vim-Silverman needle and achieved the correct histologic diagnosis in seven of 14 patients studied. Despite the fact that there were no complications and the References 1. Von Haam, E.: A Comparative Study of the Accuracy of Cancer Cell Detection by Cytological Method , ACTA Cytologica 6:508-518, 1962. 2. Burack, S.R., and Hollister, R.M.: Tuberculous Peritonitis , Amer J Med 28:510-523, 1960.Crossref 3. Sochocky, S.: Tuberculous Peritonitis , Amer Rev Resp Dis 95:398-401, 1967. 4. Villa, F., et al: Peritoneoscopy in Obscure Abdominal Diseases , Amer J Gastroent 40:363-371, 1963. 5. Gonnella, J.S., and Hudson, E.K.: Clinical Patterns of Tuberculous Peritonitis , Arch Intern Med 117:164-169, 1966.Crossref 6. Trujillo, N.P., and Donohoe, R.F.: Needle Biopsy of the Peritoneum , Amer J Med Sci 249: 186-189, 1965.Crossref 7. Donohoe, R.F.; Schnider, B.I.; and Gorman, J.: Needle Biopsy of the Peritoneum , Arch Intern Med 103:739-745, 1959.Crossref 8. Sarin, L.R.; Mehta, S.R.; and Sharma, S.K.: Diagnosis of Abdominal Tuberculosis: A Critical Evaluation of Various Techniques With Particular Reference to Peritoneal Biopsy , Indian J Med Sci 18:319-327, 1964. 9. Jain, S.C., et al: Peritoneal Biopsy in Ascites , J Indian Med Assoc 43:219-224, 1964. 10. Mehotra, M.P., et al: Percutaneous Biopsy of Peritoneum as a Diagnostic Aid in Cases of Ascites , J Indian Med Assoc 43:319-321, 1964. 11. Viranuvatti, V., et al: Peritonial Biopsy Experience With Blind and Direct Vision Biopsy , Amer J Proctol 17:488-492, 1966. 12. Silverman, I.: New Biopsy Needle , Amer J Surg 40:671-672, 1938.Crossref 13. Abrams, L.D.: A Pleural Biopsy Punch , Lancet 1:30-31, 1958.Crossref 14. Levine, H., and Cugell, D.W.: Blunt-End Needle Biopsy of Pleura and Rib , Arch Intern Med 109:62-71, 1962.Crossref 15. Cope, D., and Bernhardt, H.: Hook-Needle Biopsy of Pleura, Pericardium, Peritoneum and Synovium , Amer J Med 35:189-195, 1963.Crossref 16. Levine, H.: Modern Concepts in the Diagnosis of Tuberculous Peritonitis , Curr Concepts Chest Dis vol 4, (Feb) , 1967. 17. Levine, H.: Needle Biopsy Diagnosis of Tuberculosus Peritonitis, abstracted , Amer Rev Resp Dis 94:466, 1966. 18. Haley, H.B., et al: Ascites and Intestinal Obstruction in Myxedema , Arch of Surg 85:328-333, 1962.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Nov 1, 1967

References