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  • Title: Spontaneous bacterial peritonitis in cirrhosis: enhancement of ascites on delayed MR imaging.
    Author: Kanematsu M, Hoshi H, Murakami T, Tsuda K, Yokoyama R, Nakamura H.
    Journal: Radiat Med; 1997; 15(3):185-7. PubMed ID: 9278377.
    Abstract:
    Delayed contrast enhancement of ascites in MR imaging performed in a 61-year-old cirrhotic patient who developed spontaneous bacterial peritonitis is discussed. Delayed T1-weighted spin-echo MR images after the IV injection of gadolinium-diethylenetriamine penta-acetic acid (Gd-DTPA) showed remarkable enhancement of ascites. The ascites showed marked elevation in total protein value and neutrophil count, establishing a diagnosis of spontaneous bacterial peritonitis. This case suggests the potency of delayed-enhancement MR imaging for the prediction of spontaneous bacterial peritonitis in cirrhotic patients.
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