sinusoids have been damaged and scarred and no longer allow passage of protein, as

occurs with cirrhosis, late Budd-Chiari syndrome, or massive liver metastases.

Exudated (>25 g/l): seen in neoplasm, tuberculous peritonitis, purulent pyogenic

peritonitis, pancreatic peritonitis;

• If response is inadequate, increase the dose of diuretics

• Urine sodium can be checked in nonresponders to see if they are adherent with a
low-sodium diet.

Serum electrolytes, BUN and creatinine should bladder that cannot be relieved by
catheterization

• Infection at site of insertion (cellulitis or abscess)

• Thrombocytopenia (relative)

• Coagulopathy (relative infection, or pancreatic disease. Peritoneal

carcinomatosis can result from primary peritoneal malignancies such as mesothelioma
or sarcoma, abdominal malignancies such as gastric or colonic adenocarcinoma, or
metastatic disease from breast or lung carcinoma or melanoma.

Treatment is based on management of)

Complications

• Failed attempt to collect peritoneal fluid.

• Incisional hernia

• Persistent leak from the puncture site

• Wound infection

• Wound dehiscence

• Abdominal wall hematoma