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Malignant ascites in the peritoneal compartment may have a variety of complex patterns Chapter 23 Video In the absence of patient movement, the red blood cells sediment by gravitational effect to result in a distinct interface between the hypoechoic-dependent cellular collection and the anechoic- nondependent plasma. The finding of an interface has implications regarding the cell count of in the fluid when it is sampled with paracentesis. If the sample is drawn from the anechoic fluid area, the cell count will be low when compared to a sample drawn from the dependent area. Patient movement will result in mixing of the two compartments, with a more representative cell count of the paracentesis sample.

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