Contact Us  |  Search: 
Printer Friendly VersionEmail A FriendAdd ThisIncrease Text SizeDecrease Text Size

Peritoneal fluid analysis

 

Definition

Peritoneal fluid analysis is a laboratory test to examine fluid that has collected in in the area of the abdomen that contains the gastrointestinal organs. This area is called the peritoneal space.

How the test is performed

The sample of fluid is removed from the periotoneal space using a needle and syringe.

The health care provider will clean and numb a small area of your belly area (abdomen). Next, the doctor inserts a needle through the skin of your abdomen, and into the peritoneal space, and withdraws a sample of fluid. The fluid collects into a tube (syringe) attached to the end of the needle.

See: Abdominal tap

The fluid is sent to a laboratory where it is examined. Tests will be done on the fluid to measure red and white blood cell counts, protein, and albumin, and to check for bacteria and fungi. Occasionally, tests for glucose, amylase, ammonia, alkaline phosphatase, LDH, cytology, and other substances are done.

How to prepare for the test

Let your health care provider know if you have any allergies to medications or numbing medicine, are taking any medications (including herbal remedies), have any bleeding problems, or might be pregnant.

How the test will feel

You may feel a stinging sensation from the numbing medicine, or pressure as the needle is inserted.

If a large amount of fluid is withdrawn, you may have dizziness or lightheadedness. Tell the health care provider if you feel dizzy.

Why the test is performed

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

It is also done to remove large amounts of fluid from the peritoneal space in people who have liver disease.

Normal Values

What abnormal results mean
  • Bile-stained fluid may mean you have a gallbladder problem.
  • Bloody fluid may indicate tumor or injury.
  • High white blood cell counts may be a sign of peritonitis.
  • Milk-colored peritoneal fluid may be a sign of carcinoma, lymphoma, tuberculosis,or infection.

Other laboratory abnormalities may be due to a problem in the intestines or abdominal organs. Large differences between the concentration of albumin in the peritoneal fluid and in your blood may point to heart, liver, or kidney failure. Small differences may suggest towards cancer or infection.

What the risks are
  • Damage to the bowel, bladder, or a blood vessel in the abdomen from a needle puncture
  • Infection
  • Low blood pressure
  • Shock
Special considerations

References

Garcia-Tsao G. Cirrhosis and its sequelae. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 157.


Review Date: 1/28/2009
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional 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. © 1997- 2009 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
MAIMONIDES
MEDICAL CENTER


Home Page
Why Choose Us
Donations
Website Terms of Use
PATIENT
INFORMATION


Visitor & Patient Info
We Speak Your Language
Patient Privacy
Contact Us
KEY
INFORMATION


Find a Physician
Medical Services
Maimonides In the News
Directions & Parking
FOR HEALTH
PROFESSIONALS


Medical Education
Career Opportunities
Nurses & Physicians
Staff Intranet Access

Maimonides Medical Center    |    4802 Tenth Avenue    |    Brooklyn, NY 11219    |    718.283.6000