Cirrhosis with ascites: Is the presence of hemorrhagic ascites an indicator of poor prognosis?

Yıldız, Hakan; Akdoğan, Meral; Suna, Nuretdin; Öztaş, Erkin; Kuzu, Ufuk Barış; Bilge, Zülfükar; Aydinli, Onur; Taşkıran, İsmail

doi:10.5152/tjg.2016.160042

Cited by 5 publications

(13 citation statements)

References 16 publications

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“…Haemorrhagic ascites was present in 223 (26.6%) in this study whereas earlier studies 8,9 have 25% and 35.5% patients with haemorrhagic ascites. Most patients in this study had viral related (Chronic HCV and HBV) as the cause of cirrhosis whereas study by Yıldız et al 9 showed chronic HBV followed by HCV mainly causing cirrhosis. Urrangana et al 8 showed alcohol as a cause of cirrhosis followed by chronic HCV and HBV.…”

Section: Discussioncontrasting

confidence: 71%

“…14 Haemorrhagic ascites: Haemorrhagic ascites is defined when ascitic fluid contains >10,000/mm 3 RBC as by earlier published data on the subject. 8,9 Non Haemorrhagic ascites: Non haemorrhagic ascites is defined when ascitic fluid contains < 10,000/mm 3 RBC which is well in accordance to the earlier published data on the subject. 8,9 Causes of haemorrhagic ascites:…”

Section: Methodssupporting

confidence: 74%

“…8,9 Non Haemorrhagic ascites: Non haemorrhagic ascites is defined when ascitic fluid contains < 10,000/mm 3 RBC which is well in accordance to the earlier published data on the subject. 8,9 Causes of haemorrhagic ascites:…”

Section: Methodssupporting

confidence: 74%

“…However, as consistently observed the patients with haemorrhagic ascites have a poor outcome and survival among patients with advanced cirrhosis of liver. Apart from two large retrospective studies, 8,9 most reported data on haemorrhagic ascites were actually related to hemoperitoneum (RBCs before > 50,000/mm3) in non-critical clinical setting and described in small case series and case reports. 7,10,11 Cirrhosis related Pakistani health statistics indicate huge increase in mortality from 10,324 (6,651) to 31,373 (16,325-61,028) within last three decades (from 1980 to 2010).…”

Section: Introductionmentioning

confidence: 99%

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Haemorrhagic versus non haemorrhagic ascites in cirrhosis: Their relationship and impact on prognosis of liver cirrhosis

2020

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Objectives: To evaluate the impact of haemorrhagic ascites on prognosis of patients with advance cirrhosis, this study was further aimed to assess the relationship between haemorrhagic ascites and advance cirrhosis and its effect on prognosis. Methods: Eight hundred and thirty-eight patients having liver cirrhosis with ascites were analyzed retrospectively (over three years) while segregated into two groups haemorrhagic and non haemorrhagic ascites. Patient outcome variables were identified among both groups and independent predictors for survival were analyzed. Kaplan-Meier survival estimates determined survival rate comparison between groups. Results: Haemorrhagic ascites was detected in (26.6%) patients. Spontaneous haemorrhagic ascites (79%) was the main cause of haemorrhagic ascites followed by hepatocellular carcinoma (14%) and iatrogenic (7.6%). Spontaneous bacterial peritonitis and acute kidney injury were statistically significant (p= 0.0001, 0.0001) among groups. Overall mortality at year three was higher (83%) in haemorrhagic ascites group. Survival among both groups (haemorrhagic versus non haemorrhagic) at one month, one year and three year was found to be significant (p= 0.000, 0.000 and 0.000). Conclusion: Haemorrhagic ascites impact overall survival with more mortality in comparison to non haemorrhagic ascites. Haemorrhagic ascites was an independent predictor of survival. Haemorrhagic ascites is possibly considered another predictor of survival among advance cirrhosis. doi: https://doi.org/10.12669/pjms.36.4.2075 How to cite this:Naqvi IH, Mahmood K, Talib A. Haemorrhagic versus non haemorrhagic ascites in cirrhosis: Their relationship and impact on prognosis of liver cirrhosis. Pak J Med Sci. 2020;36(4):---------. doi: https://doi.org/10.12669/pjms.36.4.2075 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussioncontrasting

confidence: 71%

Section: Methodssupporting

confidence: 74%

Section: Methodssupporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

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Haemorrhagic versus non haemorrhagic ascites in cirrhosis: Their relationship and impact on prognosis of liver cirrhosis

2020

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“…However, we failed at detecting parasites in the peritoneum in our experimental infections in mice. Last, eosinophils could also derive from the blood due to portal hypertension produced by fibrosis in livers (42), since infected mice with severe clinical signs present hemorrhagic ascites which is a marker of advanced liver injury (43,44). Thus, the eosinophils found in the peritoneal cavity could represent an attempt of the host to allow eosinophil recruitment to the liver to fight against the parasite.…”

Section: Discussionmentioning

confidence: 99%

Eosinophils Control Liver Damage by Modulating Immune Responses Against Fasciola hepatica

Frigerio

Costa

et al. 2020

Front. Immunol.

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Contrast‐Enhanced Ultrasound (CEUS) in the Evaluation of Hemoperitoneum in Patients With Cirrhosis

Abushamat

Dietrich

Clevert

et al. 2022

J of Ultrasound Medicine

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Hemoperitoneum in cirrhosis is a life-threatening condition that requires emergent evaluation. Contrast-enhanced ultrasound (CEUS) permits multiple dynamic characterizations of abdominal structures through all vascular phases, and contrast extravasation or the presence of microbubbles in the ascites could be a sensitive tool. We reviewed 13 patients with cirrhosis that underwent CEUS due to high suspicion for intra-abdominal bleeding. In 10 cases, CEUS demonstrated extravasation of contrast, including 2 instances where CEUS detected active bleeding despite negative computed tomography. These data support further study of CEUS in direct comparison to other imaging modalities in this clinical context.

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Cirrhosis with ascites: Is the presence of hemorrhagic ascites an indicator of poor prognosis?

Cited by 5 publications

References 16 publications

Haemorrhagic versus non haemorrhagic ascites in cirrhosis: Their relationship and impact on prognosis of liver cirrhosis

Haemorrhagic versus non haemorrhagic ascites in cirrhosis: Their relationship and impact on prognosis of liver cirrhosis

Eosinophils Control Liver Damage by Modulating Immune Responses Against Fasciola hepatica

Contrast‐Enhanced Ultrasound (CEUS) in the Evaluation of Hemoperitoneum in Patients With Cirrhosis

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