Delayed Enhancement of Ascites Following High-Dose Contrast CT for Liver Metastases

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Enhanced ascites has been described as a pathognomonic CT sign of urinary-peritoneal fistula. We have seen two cases of slowly enhancing ascites demonstrated with delayed contrast CT in the absence of urinary-peritoneal fistula. Knowledge of this phenomenon is important because hyperdense enhanced ascites can simulate urinary-peritoneal fistula or intraperitoneal hemorrhage.

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