To find out differential CT scan diagnosis for cirrhotic and malignant ascites

Aim: to assess different ct signs for differentiating between malignant and cirrhotic ascites. methods: we accomplished study of 102 ct scans in adults,distributed into 2 groups based on the cirrhotic or malignant etiology of ascites. the ct signs studied were ascites volume and relative distribution between the greater peritoneal cavity (gpc) and the omental bursa (ob),the density of the ascites,the thickness of the gallbladder wall and the thickness of the parietal peritoneum and its degree of enhancement,and tethered-bowel sign. results: the ctscan signs associated with malignant ascites were: presence of fluid in the omentalbursa (p=0.003),thickening of the peritoneum its degree of enhancement (p=0.005),increased density of the ascites (p=0.01),and loss of mobility of bowel loops in the ascites (p=0.001). there in gallbladder wall thickness between the two groups doesn't show any difference. conclusion: the ct scan can play a role in diagnosing malignant ascites and confirm the usefulness of the indirect signs composed of distribution of ascites fluid,thickening and enhancement of the parietal peritoneum,and loss of mobility of the bowel loops in the ascites.