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Frequency and characterization of mixed ascites among cirrhotic patients admitted to Zagazig University hospital.
Faculty
Medicine
Year:
2020
Type of Publication:
ZU Hosted
Pages:
Authors:
Ibrahim Mohammed Ibrahim Ahmed
Staff Zu Site
Abstract In Staff Site
Journal:
Medical Journal of Viral Hepatitis Medical Journal of Viral Hepatitis
Volume:
Keywords :
Frequency , characterization , mixed ascites among cirrhotic
Abstract:
Abstract: Background and aim. Mixed ascites is defined in patients in whom two or more etiologies of ascites are demonstrated. Such patients have liver cirrhosis plus (an) other local and/or systemic cause(s). The aim of this work is to detect the frequency and characterization of mixed ascites among cirrhotic patients. Patients and methods. The study was conducted on 273 ascitic cirrhotic pati ents. All patients were subjected to full history taking, thorough clinical examination, radiological investigati ons and laboratory investigations including CRP and tumor markers (AFP, CEA, CA 19-9, CA 125). Diagnostic abdominal paracentesis with cytologic and biochemical analyses and Ziehl- Neelsen staining of ascitic fluid were done. Also, serum-ascites albumin gradient (SAAG) was calculated. Results. Twenty eight patients (10.3%) among the studied patients were mixed ascites. Among patients with mixed ascites, the most common cause was malignancy in 11 patients (39.2%), cardiac causes were present in 7 patients (25%), renal causes were found in 2 patients (7.1%) and surgical abdominal causes were present in 8 patients (28.7%). Compared to non-mixed ascites, patients with mixed ascites had a statistically significant increase regarding ascitic total leucocytic count, lactate dehydrogenase and protein. Moreover, there was a significant increase in tumor markers and CRP in patients with mixed ascites versus patients with nonmixed ascites. Using logistic regression analysis, the predictor variables for mixed ascites in cirrhotic patients included positive tumor markers CEA and CA 19-9 and positive CRP. Conclusion. in our study, the commonest cause of mixed ascites was malignancy. Significant predictors of mixed ascites were CRP and tumor markers; CEA, CA 19-9 and CA 125
Author Related Publications
Ibrahim Mohammed Ibrahim Ahmed, "The Usefulness of Ascitic Fluid Lactoferrin Level in Diagnosis of Spontaneous Bacterial Peritonitis in Cirrhotic Patients.", Afroegyptian journal of endemic diseases, 2025
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Ibrahim Mohammed Ibrahim Ahmed, "تحسين تشخيص تضيق القناة الصفراوية البعيدة: التصوير بالموجات فوق الصوتية بالمنظار للكشف عن الكتل غير المكتشفة في التصوير المقطعي", Afroegyptian journal of endemic diseases, 2025
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Ibrahim Mohammed Ibrahim Ahmed, "Large Balloon Dilatation Versus Endoscopic Complete Sphincterotomy in Patients with Large Common Bile Duct Stone(s) and Periampullary Diverticulum.", Egyptian Liver Journal, 2025
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Ibrahim Mohammed Ibrahim Ahmed, "Insulin Resistance and Portal Hemodynamic Changes before and after Treatment with New Direct Antiviral Drugs in Chronic Hepatitis C.", Afro-Egypt J Infect Endem Dis, 2019
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Ibrahim Mohammed Ibrahim Ahmed, "Microscopic Colitis in Patients with Unexplained Chronic Watery nonBloody Diarrhea: A Cross Sectional Study", Open Journal of Gastroenterology, 2020
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Department Related Publications
Taghreed Mohamed Abdallah Mahmud, "MELD Score as a Predictor of Treatment Response of ‘Difficult to Treat’ Chronic HCV Patients", Zagazig University. Faculty of Medicine. Endemic and Tropical Medicine Department http://mis.zu.edu.eg/ajied/home.aspx, 2019
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Halle Ismail Mouhammed, "Ghrelin: Can It Affect The Nutrition And Morbidity In Cirrhotic Patients? الجريلين: هل يستطيع أن يؤثر على التغذية والنسبة المرضية فى مرضى التشمع الكبدى؟", المجلة العلمية لكلية طب بنات الأزهر, 2007
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Ahmed Salah Mohamed Behery, "Persistent Elevation of Liver Enzymes during Pegylated Interferon Therapy of Chronic Hepatitis C Virus: Role of Occult Hepatitis B", بحث مشترك منشور بمجلة ابحاث امراض الجهاز الهضمي والكبد, 2012
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Mohammed Hassan Ali Emara Alzenan, "تغيرات تدفق الدم بالوريد البابى ووظائف الكبد أثناء صيام شهر رمضان في فصل الصيف; دراسة تجريبية Changes in portal blood flow and liver functions in cirrhotics during Ramadan fasting in the summer; a pilot study", Shahid Beheshti Medical University, 2016
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Halle Ismail Mouhammed, "تغيرات تدفق الدم بالوريد البابى ووظائف الكبد أثناء صيام شهر رمضان في فصل الصيف; دراسة تجريبية Changes in portal blood flow and liver functions in cirrhotics during Ramadan fasting in the summer; a pilot study", Shahid Beheshti Medical University, 2016
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