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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2021; 12(01): 049-050
DOI: 10.1055/s-0040-1715284
Endoscopic Video

Evaluation of Peritoneal Deposits in Undiagnosed Ascites by Advanced Endoscopic Ultrasound Imaging Techniques

Surinder Singh Rana
1   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Ravi Sharma
1   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Rajesh Gupta
2   Division of Surgical Gastroenterology, Department of Surgery, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
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Abstract

Etiology of ascites can be usually determined with ascitic fluid cytological and biochemical evaluation. Occasionally, the cause of ascites cannot be determined despite repeated ascitic fluid evaluations. These patients with undiagnosed ascites usually undergo diagnostic laparotomy/laparoscopy for etiological diagnosis. Endoscopic ultrasound (EUS) can help in resolving the diagnostic conundrum of undiagnosed ascites by visualizing as well as sampling peritoneal and omental deposits/thickening. However, rarely fine-needle aspiration from deposits may be falsely negative and patient may need repeat sampling. Newer EUS imaging techniques such as elastography and contrast-enhanced harmonic EUS by providing additive information on stiffness and enhancement pattern of the lesion can help in differential diagnosis.



Publication History

Article published online:
27 July 2021

© 2020. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Rana SS, Bhasin DK, Srinivasan R, Singh K. Endoscopic ultrasound-guided fine needle aspiration of peritoneal nodules in patients with ascites of unknown cause. Endoscopy 2011; 43 (11) 1010-1013
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Sharma V, Rana SS, Ahmed SU, Guleria S, Sharma R, Gupta R. Endoscopic ultrasound-guided fine-needle aspiration from ascites and peritoneal nodules: a scoping review. Endosc Ultrasound 2017; 6 (06) 382-388
    CrossrefPubMedGoogle Scholar
  • 3 Rana SS, Sharma R, Srinivasan R, Rohilla M, Gupta R. Contrast-enhanced EUS in the evaluation of peritoneum and omentum in undiagnosed ascites. Endosc Ultrasound 2020; 9 (01) 69-70 Legends for the figures
    CrossrefPubMedGoogle Scholar