Spontaneous bacterial peritonitis in cirrhosis: enhancement of ascites on delayed MR imaging.
Delayed contrast enhancement of ascites in MR imaging performed in a 61-year-old cirrhotic patient who developed spontaneous bacterial peritonitis is discussed. Delayed T1-weighted spin-echo MR images after the IV injection of gadolinium-diethylenetriamine penta-acetic acid (Gd-DTPA) showed remarkable enhancement of ascites. The ascites showed marked elevation in total protein value and neutrophil count, establishing a diagnosis of spontaneous bacterial peritonitis. This case suggests the potency of delayed-enhancement MR imaging for the prediction of spontaneous bacterial peritonitis in cirrhotic patients.
Kanematsu
M
M
Department of Radiology, Gifu University School of Medicine, Tsukasamachi, Japan.
Hoshi
H
H
Murakami
T
T
Tsuda
K
K
Yokoyama
R
R
Nakamura
H
H
D001201:Ascites / Q000175:diagnosis* / Q000382:microbiology; D001202:Ascitic Fluid / Q000382:microbiology; D001424:Bacterial Infections / Q000175:diagnosis / Q000209:etiology; D003287:Contrast Media; D017809:Fatal Outcome; D019786:Gadolinium DTPA; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D008103:Liver Cirrhosis / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009942:Organometallic Compounds; D004369:Pentetic Acid / Q000031:analogs & derivatives; D010529:Peritoneal Cavity / Q000382:microbiology / Q000473:pathology*; D010538:Peritonitis / Q000175:diagnosis / Q000382:microbiology*
D003287:Contrast Media; D009942:Organometallic Compounds; D004369:Pentetic Acid; D019786:Gadolinium DTPA