Author(s)

Adam Moyosore Afodun^1,2*, Ejike Daniel Eze³, Airat Adeola Bakare⁴, Victor Okoliko Ukwenya⁵, Taofeek Olarewaju Ayinde⁶, Khadijah Kofoworola Quadri⁶

¹Department of Anatomy, Faculty of Biomedical Sciences, Kampala International University, Kampala, Uganda.
²Department of Radiology, Ultrasound and Doppler Unit, Crystal Specialist Hospital, Lagos, Nigeria.
³Department of Physiology, Faculty of Biomedical Sciences, Kampala International University, Kampala, Uganda.
⁴Department of Anatomy, College of Medicine, University of Lagos, Lagos, Nigeria.
⁵Department of Anatomy, Federal University of Technology Akure, Akure, Nigeria.
⁶Department of Physiology, Faculty of Basic Medical Sciences, University of Ilorin, Ilorin, Nigeria.

The aim of this study is to review clinical case ascites and the use of ultrasound for the detection/classification of free intra-peritoneal fluid. Current therapeutic modality is in support of ultrasound guided paracentesis/thoracocentesis as a multidisciplinary procedure for ascitic reduction. Post-surgical free intra-peritoneal fluid is a common iatrogenic complication. We present ascitic cases of diseased conditions, questionable origins (in females) following hernia reduction and laparoscopic procedures to evaluate ascitic etiology through ultrasound. Average attenuation and quadrant sum of largest fluid pocket ultrasound (frozen) images were measured. 12 patients with free intra-peritoneal fluid had identifiable anatomical organs: liver, kidneys, urinary bladder and bowel loops. The size of maximal pocket of ascitic fluid in ill-patients was 1210/300 mm², while fluid in subjects with non-traumatic injury was clear (free of striations) and appeared less dense.

Ascites, Fluid, Ultrasound, Injury

Afodun, A. , Eze, E. , Bakare, A. , Ukwenya, V. , Ayinde, T. and Quadri, K. (2017) Comparative Ultrasound Review of Free Intra-Peritoneal Fluid (Ascites). Open Journal of Medical Imaging, 7, 229-236. doi: 10.4236/ojmi.2017.74021.