Spontaneous bacterial peritonitis in extrahepatic portal venous obstruction (EN)

Thomas, Varghese

Sarin Zacharia, George

Rangan, Kavitha

Kandiyil, Sunilkumar

Spontaneous bacterial peritonitis is defined by a positive ascitic fluid bacterial culture and an elevated ascitic fluid absolute polymorphonuclear count (≥250 cells/mm3) without an evident intra-abdominal, surgically treatable source of infection. Transient ascites is well documented in patients with extrahepatic portal venous obstruction but spontaneous bacterial peritonitis complicating extrahepatic portal venous obstruction is extremely uncommon. The postulated reasons for the low incidence of spontaneous bacterial peritonitis in extrahepatic portal venous obstruction includes: lower incidence of ascites; intact hepatic reticuloendothelial system; and a relatively high ascitic fluid protein content. Here we report two cases of spontaneous bacterial peritonitis complicating extrahepatic portal venous obstruction.Keywords Extrahepatic portal venous obstruction, spontaneous bacterial peritonitis, ascites (EN)

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Ελληνική Γαστροεντερολογική Εταιρία

Annals of Gastroenterology

Case Reports

Αγγλική γλώσσα

2013-09-24

http://www.annalsgastro.gr/index.php/annalsgastro/article/view/1392

Hellenic Society of Gastroenterology (EN)

1792-7463

1108-7471

Annals of Gastroenterology; Volume 26, No 4 (2013); 363 (EN)