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Cell count: Normal ascitic fluid contains fewer than 500 leukocytes/ÂµL and fewer than 250 polymorphonuclear leukocytes (PMNs)/ÂµL. Any inflammatory condition can cause an elevated white blood cell count. A PMN count of greater than 250 cells/ÂµL is highly suggestive of bacterial peritonitis.
Ascites is the excessive accumulation of fluid in the abdominal cavity. For fluid to be detectable by clinical examination there has to be at least 1500 ml present (slightly less in a small, thin person, but significantly more in an obese person). Ultrasound can detect much smaller volumes (â¤500 ml).