Diagnostic Value of Peritoneal Nodules Detected on CECT Abdomen in Management of Ascites of Unknown Origin- A Retrospective Study
Introduction: The aetiology of ascites can be established in a majority of patients with routine clinical examination and conventional laboratory and imaging investigations; but in a minority, the cause may remain undetected even after these examinations. This ascites is termed as ascites of unk...
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JCDR Research and Publications Pvt. Ltd.
2022-01-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
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| Online Access: | https://www.ijars.net/articles/PDF/2726/49607_CE[Ra1]_F(SHU)_PF1(JY_SHU)_PFA(KM)_PN(SHU).pdf |
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| author | Naganarasimharaju Jukuri Ramakrishna Narra Mary Varunya Jehendran Yeruva Yeshwanth Reddy Mahathi Thotakura |
| author_facet | Naganarasimharaju Jukuri Ramakrishna Narra Mary Varunya Jehendran Yeruva Yeshwanth Reddy Mahathi Thotakura |
| author_sort | Naganarasimharaju Jukuri |
| collection | DOAJ |
| description | Introduction: The aetiology of ascites can be established
in a majority of patients with routine clinical examination and
conventional laboratory and imaging investigations; but in a
minority, the cause may remain undetected even after these
examinations. This ascites is termed as ascites of unknown
origin. The Contrast Enhanced Computed Tomography (CECT)
abdomen of these patients sometimes shows peritoneal nodules
which can be useful to establish diagnosis.
Aim: To evaluate the diagnostic value of peritoneal nodules
detected on CECT abdomen in the management of ascites of
unknown origin.
Materials and Methods: This retrospective study was conducted
in Katuri Medical College and Hospital, Guntur, Andhra Pradesh,
India on the data retrieved from the medical records of the
patients between January 2019 to January 2021. These patients
had already been vainly investigated with basic clinical, laboratory
and diagnostic ultrasound examinations for the aetiology of
ascites. All the patients who were diagnosed to have peritoneal
nodules on CECT abdomen and later underwent laparoscopic
tissue diagnosis of these peritoneal nodules were included in the
study. The sizes of the peritoneal nodules and the distribution
of the pathology were collected from CECT abdomen reports
and compared them with the histopathology findings. Statistical
analysis and plotting of the Receiver Operating Characteristic
(ROC) curve were done using Statistical Package for the Social
Sciences (SPSS) version 25.0.
Results: Fifty-two patients of ascites of unknown origin with
peritoneal nodules were included in the study. Of the total,
36 (69.2%) patients were males and 16 (30.8%) were females.
Mean age of the patients was 48 years (22 to 74 years). Tissue
diagnosis of the peritoneal nodules revealed that majority
of the patients had carcinomatosis peritonei (88.5%) while
a minority had tuberculosis (11.5%). A nodule size of more
than 5 mm as a sign of malignancy on CECT abdomen had
a sensitivity of 93% and a specificity of 83%. Based on the
tissue diagnosis of the peritoneal nodules these patients were
treated with antituberculosis drugs for tuberculous abdomen
and chemotherapy for carcinomatosis peritonei.
Conclusion: Detection of peritoneal nodules on CECT abdomen
can be helpful in guiding the clinician for further management of
ascites of unknown origin. |
| first_indexed | 2024-12-13T02:08:06Z |
| format | Article |
| id | doaj.art-bad77e7b5970439696b9f0fee302aad0 |
| institution | Directory Open Access Journal |
| issn | 2277-8543 2455-6874 |
| language | English |
| last_indexed | 2024-12-13T02:08:06Z |
| publishDate | 2022-01-01 |
| publisher | JCDR Research and Publications Pvt. Ltd. |
| record_format | Article |
| series | International Journal of Anatomy Radiology and Surgery |
| spelling | doaj.art-bad77e7b5970439696b9f0fee302aad02022-12-22T00:03:05ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742022-01-011101050810.7860/IJARS/2022/49607.2726Diagnostic Value of Peritoneal Nodules Detected on CECT Abdomen in Management of Ascites of Unknown Origin- A Retrospective StudyNaganarasimharaju Jukuri0Ramakrishna Narra1Mary Varunya Jehendran2Yeruva Yeshwanth Reddy3Mahathi Thotakura4Associate Professor, Department of Radiology and Medical Imaging, Katuri Medical College, Guntur, Andhra Pradesh, India.Professor, Department of Radiology and Medical Imaging, Katuri Medical College, Guntur, Andhra Pradesh, IndiaAssistant Professor, Department of Radiology, Vydehi Institute of Medical Sciences and Research Center, Bangalore, Karnataka, IndiaProfessor, Department of General Surgery, Katuri Medical College, Guntur, Andhra Pradesh, IndiaAssociate Professor, Department of Pathology, Katuri Medical College, Guntur, Andhra Pradesh, India.Introduction: The aetiology of ascites can be established in a majority of patients with routine clinical examination and conventional laboratory and imaging investigations; but in a minority, the cause may remain undetected even after these examinations. This ascites is termed as ascites of unknown origin. The Contrast Enhanced Computed Tomography (CECT) abdomen of these patients sometimes shows peritoneal nodules which can be useful to establish diagnosis. Aim: To evaluate the diagnostic value of peritoneal nodules detected on CECT abdomen in the management of ascites of unknown origin. Materials and Methods: This retrospective study was conducted in Katuri Medical College and Hospital, Guntur, Andhra Pradesh, India on the data retrieved from the medical records of the patients between January 2019 to January 2021. These patients had already been vainly investigated with basic clinical, laboratory and diagnostic ultrasound examinations for the aetiology of ascites. All the patients who were diagnosed to have peritoneal nodules on CECT abdomen and later underwent laparoscopic tissue diagnosis of these peritoneal nodules were included in the study. The sizes of the peritoneal nodules and the distribution of the pathology were collected from CECT abdomen reports and compared them with the histopathology findings. Statistical analysis and plotting of the Receiver Operating Characteristic (ROC) curve were done using Statistical Package for the Social Sciences (SPSS) version 25.0. Results: Fifty-two patients of ascites of unknown origin with peritoneal nodules were included in the study. Of the total, 36 (69.2%) patients were males and 16 (30.8%) were females. Mean age of the patients was 48 years (22 to 74 years). Tissue diagnosis of the peritoneal nodules revealed that majority of the patients had carcinomatosis peritonei (88.5%) while a minority had tuberculosis (11.5%). A nodule size of more than 5 mm as a sign of malignancy on CECT abdomen had a sensitivity of 93% and a specificity of 83%. Based on the tissue diagnosis of the peritoneal nodules these patients were treated with antituberculosis drugs for tuberculous abdomen and chemotherapy for carcinomatosis peritonei. Conclusion: Detection of peritoneal nodules on CECT abdomen can be helpful in guiding the clinician for further management of ascites of unknown origin.https://www.ijars.net/articles/PDF/2726/49607_CE[Ra1]_F(SHU)_PF1(JY_SHU)_PFA(KM)_PN(SHU).pdfabdominal tuberculosiscontrast enhanced computed tomographydiagnostic laparoscopyperitoneal nodule sizeperitoneal thickening |
| spellingShingle | Naganarasimharaju Jukuri Ramakrishna Narra Mary Varunya Jehendran Yeruva Yeshwanth Reddy Mahathi Thotakura Diagnostic Value of Peritoneal Nodules Detected on CECT Abdomen in Management of Ascites of Unknown Origin- A Retrospective Study International Journal of Anatomy Radiology and Surgery abdominal tuberculosis contrast enhanced computed tomography diagnostic laparoscopy peritoneal nodule size peritoneal thickening |
| title | Diagnostic Value of Peritoneal Nodules Detected on CECT Abdomen in Management of Ascites of Unknown Origin- A Retrospective Study |
| title_full | Diagnostic Value of Peritoneal Nodules Detected on CECT Abdomen in Management of Ascites of Unknown Origin- A Retrospective Study |
| title_fullStr | Diagnostic Value of Peritoneal Nodules Detected on CECT Abdomen in Management of Ascites of Unknown Origin- A Retrospective Study |
| title_full_unstemmed | Diagnostic Value of Peritoneal Nodules Detected on CECT Abdomen in Management of Ascites of Unknown Origin- A Retrospective Study |
| title_short | Diagnostic Value of Peritoneal Nodules Detected on CECT Abdomen in Management of Ascites of Unknown Origin- A Retrospective Study |
| title_sort | diagnostic value of peritoneal nodules detected on cect abdomen in management of ascites of unknown origin a retrospective study |
| topic | abdominal tuberculosis contrast enhanced computed tomography diagnostic laparoscopy peritoneal nodule size peritoneal thickening |
| url | https://www.ijars.net/articles/PDF/2726/49607_CE[Ra1]_F(SHU)_PF1(JY_SHU)_PFA(KM)_PN(SHU).pdf |
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