Failure of Ultrasound to Diagnose Pseudoascite: A Case Report

Accumulation of fluid in abdominal cavity is named as ascites. In some cases, although it may be thought that there was an ascites accroding to the physical examination signs, there may not be free fluid within the peritoneal cavity. These conditions are named as pseudoascites. Ultrasound is the gold standart imaging method. In our case we mentioned 55 years old women, to whom parasynthesis was done due to diagnosis of ascites according to the physical examination and ultrasound imaging. Parasynthesis fluid examination of serum ascites albumin gradient (SAAG) was ≥1,1. Since further examinations were not compatible with the conditions that cause SAAG ≥ 1,1, abdominal tomography which showed a large cystic mass was done. After surgery it was seen that the mass was a musinous ctystic adenoma. As a result, clinicians must consider possibilities other than ascites in the differential diagnosis of large abdominal fluid accumulation.

Ultrasonografinin Psödoasit Tanýsýnda Yetersizliði: Bir Olgu Sunumu

Abdominal kavitede sývý birikimi asit olarak adlandýrýlmaktadýr. Bazý durumlarda fizik muayene bulgularýna göre asit mayi varlýðýný düþünülsede, periton kavitesinde serbest sývý bulunmayabilir. Bu durumlar için psödoasit terimi kullanýlýr. Ultrason ayýrýcý tanýda altýn standart görüntüleme yöntemidir. Vakamýzda 55 yaþýnda bayan hasta fizik muayene ve ultrason görüntülemesine göre asit tanýsý almýþ olup parasentez yapýlmýþtýr. Parasentez sývýsý incelemesi sonrasýnda serum asit albümin gradienti (SAAG) ≥ 1,1 olarak geldi. Hastanýn yapýlan ileri tetkikleri ile SAAG ≥ 1,1 yapacak durumlarýn uyumsuz olmasý üzerine yapýlan batýn tomografisinde büyük kistik bir kitle saptandý. Yapýlan cerrahi sonrasýnda kitlenin musinöz kist adenom olduðu görüldü. Sonuç olarak klinisyenler büyük abdominal sývý birikimlerinde ayýrýcý tanýda asit dýþý diðer olasýlýklarý da göz önünde bulundurmalýdýrlar.