Needle Biopsy of Peritoneum in Exudative Ascites

A prospective audit of the use of diagnostic laparoscopy to establish the diagnosis of abdominal tuberculosis

“…62,63 There are several other small series of peritoneal biopsy in the 60's, 70's and 80's. 57,64,65 The procedure carries a high risk of complications like bowel perforation, bleeding, and even death. 66,67,68 The main contraindication to blind percutaneous peritoneal biopsy is the absence of ascites.…”

Peritoneal biopsy for diagnosis of abdominal tuberculosis

“…Over 80% diagnostic accuracy of open peritoneal biopsy in this study is due to the availability of adequate peritoneal tissue for examination. With needle biopsy, adequate tissue is not obtained in 7 % of ascitic to 36 % of nonspecific cases (Mehrotra et al, 1966;Sarin et al, 1961), although in ascitic tuberculosis, 100% accuracy of needle biopsy may be obtained (Levine, 1967). Mehrotra et al (1966) demonstrated the limitations of punch peritoneal biopsy in one case where first biopsy showed normal peritoneum but an open biopsy at the time of operation showed tuberculous changes, emphasizing that adequate tissue examination will give better results.…”

Successful treatment of multiple liver metastases by liver perfusion.

“…Wood suggested, however, that although most patients with widespread metastases are dead within two to three years, 16% of those with solitary metastases are alive at five years. 2 A recent report suggested that perfusion of the liver with heparin and fluorouracil reduces the development of liver metastases postoperatively. 3 We report on a man with multiple tumour deposits in the liver who survived for four years after treatment with perfusion.…”

“…' The most common cutaneous reactions to 13 blockers other than practolol include psoriasiform, lichenoid, oreczematous skin reactions.2 13 Blockade may also trigger true psoriasis. 2 We followed the course ofpsoriasis that had erupted or worsened during 13 blockade once the f3 blocking agent was withdrawn.…”