Peritoneal

FluidLABORATORY

TESTS

APPEARANCE

CLEAR, PALE YELLOW Normal

Turbid Microbial infection

Green or dark brown color Bile, gallbladder, pancreatic disorders

Blood-streakedTrauma, tuberculosis,

intestinal disorders and malignancy

Milky Lymphatic trauma and blockage

WBC COUNT

< 350 cells/ul

> 350 cells/ul

NormalAbnornal

Bacterial peritonitis

Cirrhosis

Tuberculosis

Cellular examination

Ovary Colon Prostate

Cellular examination

Psammoma Bodies

Cellular examination

Lipophages

Budding yeast

Prostate

Chemical Testing

Levels Clinical significance

Glucose below serum level

• Bacterial and tubercular peritonitis

• Malignancy

Amylase • Pancreatitis• Gastrointestinal

perforationAlkaline

phosphatase

• Gastrointestinal

perforation

Chemical Testing

Clinical significance

BUN & Creatinine

• Ruptured or punctured bladder

Bilirubin• Leakage of bile

following trauma or surgery

Microbiology Tests

Clinical significance

Gram stain &Culture

• Bacterial peritonitis

Acid-fast stains

• Tubercular peritonitisAdenosine

deaminase

Serologic Testing

Tumor markers

Clinical significance

CEA• Malignancy of

gastrointestinal origin

CA 125• Malignancy of ovarian,

fallopian tubes and endometrial origin

Thank you For

Listening