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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.
A minimum of 10,000 red blood cells/ÂµL is required for ascitic fluid to appear pink, and more than 20,000 red blood cells/ÂµL will produce distinctly blood-tinged fluid. This may result from either a traumatic tap or malignancy. Bloody fluid from a traumatic tap is heterogeneously bloody, and the fluid will clot.