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The main causes of ascites in dogs are: cirrhosis of the liver, chronic circulatory insufficiency, peritoneum infections, metabolic disorders and new-growth tumors. The aim of the research was to assess the efficacy of cytological diagnosis of the peritoneal cavity fluid in 25 dogs of different breeds and both sexes, displaying symptoms of ascites. Morphological blood tests comprising the designation of the erythrocytes number, hematocrite value, hemoglobin concentration, MCV, MCH, MCHC values and platelets count were conducted in the examined dogs. The concentration of urea, creatinine, ALT, AST, AP, total bilirubin, protein, albumins, diastase and lipase were determined in the biochemical tests of blood serum. Abdominal cavity and heart USG was performed in all the animals and the abdominal fluid was collected for physical and biochemical examinations. The obtained sediment was subjected to cytological examinations. In the performed examinations new-grown tumors were diagnosed in 5 (20%) dogs the on the basis of the cytological fluid test. USG diagnosis suggested neoplastic lesions in 2 (8%) cases. Cytological diagnosis proved to be the most sensitive and specific method in establishing the neoplastic etiology of ascites.
Differential diagnosis of reasons for the accumulation of abdominal fluid is a significant clinical problem. The examination and analysis of ascites fluid is a practical method which may provide a lot of useful information enabling the diagnosis of ascites fluid etiology. The aim of the study was to evaluate the usefulness of examining abdominal fluid and laboratory parameters in differential diagnosis of ascites in dogs and to examine ascites etiology. The study was conducted on 72 dogs with ascites. On the basis of the obtained results, the dogs were divided into 5 groups: 1. 38 dogs with ascites resulting from circulatory insufficiency, 2. 23 dogs with ascites resulting from a neoplastic disease, 3. 7 dogs with ascites resulting from a liver disease, 4. 2 dogs with ascites associated with septic peritonitis, 5. 2 dogs with ascites associated with intestinal diseases. The examinations were conducted according to the following pattern: anamnesis and clinical examination, USG, ECG, morphological and biochemical examination of selected blood parameters, abdominocentesis and peritoneal fluid examination. The fluid collected from the peritoneal cavity was evaluated according to Light’s criteria modified by the author (colour, translucency, special gravity, pH, total protein concentration, glucose, triglycerides, cholesterol, amylase activity, lactic dehydrogenase, leukocyte count, microbiological and cytological examination of the fluid). Based on the results of biochemical blood and ascites fluid examinations, the serum-ascites protein gradient and serum-ascites albumin gradient were calculated. The conducted research led to the following conclusions: the most frequent cause of ascites in dogs is a chronic heart failure, the fluid composition depends on the location and the character of the disease process resulting in ascites, the determination of the leucocyte count in the peritoneal fluid is a significant criterion enabling differentiation of ascites caused by a neoplastic disease, the determination of amylase activity, lactic dehydrogenase and glucose concentration in the peritoneal fluid enables differentiation of ascites of neoplastic etiology, the determination of triglycerides and cholesterol concentration in the peritoneal fluid enables differentiation of ascites caused by liver diseases.
The aim of the study was to determine the effectiveness of total protein (AFTP), serum-ascites total protein gradient, and serum-ascites albumin gradient (SAAG) determination for the diagnostics of ascites in dogs. The examinations were conducted on 68 dogs of both sexes and different breeds, aged 5 months to 12 years, manifesting signs of ascites. All the animals underwent ECG, abdominal USG, blood testing (total protein, albumin). The concentration of total protein, albumin and leukocyte count was additionally determined in the ascites fluid. On the basis of the obtained results the dogs were divided into 3 groups depending on the disease etiology: group 1 - 38 dogs with the signs of ascites connected with cardiac insufficiency, group 2 - 23 dogs with the signs of ascites connected with neoplastic diseases, group 3 - 7 dogs with the signs of ascites connected with liver parenchyma pathology. The statistical analysis of the obtained results showed statistically significant differences between 3 examined groups in total protein concentration in ascites fluid (p=0.001), serum-ascites total protein gradient (p=0.003) and serum-ascites albumin gradient (p=0.0027). The determination of the serum-ascites total protein gradient and serum-ascites albumin gradient is a useful diagnostic test in the diversification of transudes and exudates. The serum-ascites total protein gradient and serum-ascites albumin gradient is significantly lower in the group of dogs with liver disease than in the group with cardiac insufficiency and neoplastic diseases. The serum-ascites albumin gradient is useful as a marker for portal hypertension.
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