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Fluid Collections

  • Armando Rossi
  • Giorgio Rossi
Part of the Medical Radiology book series (MEDRAD)

Abstract

Fluid collections in the peritoneal cavity and in subperitoneal spaces are usually a consequence of pathologic processes affecting intraperitoneal organs; occasionally, they may represent the extension of collections from extra- or retroperitoneal compartments. Fluids can be constituted by transudate, exudate, blood, pus, bile, lymph, urine, pancreatic fluid, mucin or food, and are produced by a variety of processes: inflammatory, vascular, traumatic, neoplastic (primary or secondary), metabolic or consequent to hepatic, renal, cardiac failure or surgery (Table 5.1).

Table 5.1.

Causes of peritoneal collection

Transudative ascites

Portal hypertension

Morgagni-Laennec atrophic cirrhosis

Congestive heart failure

Constrictive pericarditis

Inferior vena cava obstruction

Hepatic vein occlusion (Budd-Chiari syndrome)

Portal vein obstruction

Hypoalbuminemia

Nephrotic syndrome

Malabsorption syndrome

Exudative ascites

Peritoneal carcinomatosis (due to ovarian, colic, gastric, hepatic, pancreatic, pulmonary or mammary tumors or to melanomas)

Mesothelioma

Infections

Tuberculosis

AIDS and related syndromes

Chronic renal failure

Chylous ascites

Obstruction or discontinuity of lymphatic flow: congenital, tumoral, traumatic, surgery-induced, tubercular or due to filariasis

Hematic collections

Traumas

Surgical Surgical operation

Anticoagulant therapy / hemorrhagic diathesis

Spontaneous rupture of tumors rich in vessels

Spontaneous rupture of hemorrhagic and endometriotic cyst or of ectopic gestation

Bile collections

Rupture of the biliary tree due to: surgical operation, biliary drainage, transcutaneous or endoscopic cholangiography, traumas, intraluminal hypertension

Urine collections

Traumas

Instrumental procedures

Intraluminal hypertension

Derivative surgical procedures

Seromas

Surgical operations

Pancreatic collections

Acute pancreatitis

Endoscopic cholangiopancreatography

Surgical operations

Purulent collectionsa

Extension of visceral inflammations

Intestinal perforations

Surgical operations

see Chap. 6

Keywords

Fluid Collection Ascitic Fluid Pleural Fluid Constrictive Pericarditis Malignant Ascites 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2001

Authors and Affiliations

  • Armando Rossi
    • 1
  • Giorgio Rossi
    • 2
  1. 1.Institute of Radiological SciencesUniversity of ParmaParmaItaly
  2. 2.Local Health Unit (ASL)Hospital of FidenzaFidenza (Pr)Italy

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