Wentworth-Douglass Hospital
(603) 742-5252
Decrease (-) Restore Default Increase (+) font size
Physicians
Site Search

Definition:

Peritoneal fluid analysis is a laboratory test to examine fluid that has collected in in the area of the abdomen that contains the gastrointestinal organs. This area is called the peritoneal space.



How the test is performed:

The sample of fluid is removed from the periotoneal space using a needle and syringe.

The health care provider will clean and numb a small area of your belly area (abdomen). Next, the doctor inserts a needle through the skin of your abdomen, and into the peritoneal space, and withdraws a sample of fluid. The fluid collects into a tube (syringe) attached to the end of the needle.

See: Abdominal tap

The fluid is sent to a laboratory where it is examined. Tests will be done on the fluid to measure red and white blood cell counts, protein , and albumin, and to check for bacteria and fungi. Occasionally, tests for glucose, amylase, ammonia , alkaline phosphatase , LDH , cytology , and other substances are done.



How to prepare for the test:

Let your health care provider know if you have any allergies to medications or numbing medicine, are taking any medications (including herbal remedies), have any bleeding problems, or might be pregnant.



How the test will feel:

You may feel a stinging sensation from the numbing medicine, or pressure as the needle is inserted.

If a large amount of fluid is withdrawn, you may have dizziness or lightheadedness. Tell the health care provider if you feel dizzy.



Why the test is performed:

The test is performed to determine the cause of fluid in the abdomen, to detect whether injury has caused internal bleeding, and to detect peritonitis .

It is also done to remove large amounts of fluid from the peritoneal space in people who have liver disease.



Normal Values:



What abnormal results mean:
  • Bile-stained fluid may mean you have a gallbladder problem.
  • Bloody fluid may indicate tumor or injury.
  • High white blood cell counts may be a sign of peritonitis.
  • Milk-colored peritoneal fluid may be a sign of carcinoma , lymphoma , tuberculosis, or infection.

Other laboratory abnormalities may be due to a problem in the intestines or abdominal organs. Large differences between the concentration of albumin in the peritoneal fluid and in your blood may point to heart, liver, or kidney failure. Small differences may suggest towards cancer or infection.



What the risks are:
  • Damage to the bowel, bladder, or a blood vessel in the abdomen from a needle puncture
  • Infection
  • Low blood pressure
  • Shock


Special considerations:



References:

Garcia-Tsao G. Cirrhosis and its sequelae. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 157.




Review Date: 1/28/2009
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com


Find What You Need

Events
Careers
Foundation
About Us
Contact
Directions
News
Social Media Agreement
Joint Notice
Web Privacy Policy
WDH Staff Portal

Centers & Services

Cancer Center
Cardiovascular Care
Joint Replacement
Women & Children's
Physician Offices
Other Services

Conditions & Treatments

Health Library

Support Services

Support Groups
Care-Van
Dental Center
Social Work
Food & Nutrition
Integrative Wellness
Spiritual Care
Concerns & Grievances
Homecare and Hospice

For Patients

Pay Your Bill Online
Pricing Estimates
Financial Assistance
Interpreter Services
Surgery Preparation
Medical Record Request
Advance Directives
Clinical Research & Trials

For Healthcare Professionals

Work and Life
Financial Well-Being
Career and Growth

The Wentworth-Douglass Health System includes:

 

Address

Wentworth-Douglass Hospital
789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100