Abdominal Fluid Cell Type / Cell

Abdominal Fluid Cell Type / Cell Count test is an important diagnostic investigation used to evaluate ascitic fluid collected from the abdominal cavity. This test helps doctors identify the cause of abdominal fluid accumulation (ascites) and diagnose infections, inflammation, malignancy, or liver-related diseases.

সহজ ভাষায় বললে, পেটের ভেতরে জমে থাকা তরল (abdominal/ascitic fluid)-এ কী ধরনের কোষ আছে এবং কত সংখ্যায় আছে, তা জানতেই এই টেস্ট করা হয়।

What is Abdominal (Ascitic) Fluid?

Abdominal fluid, also known as ascitic fluid, is the fluid that accumulates in the peritoneal cavity (পেটের ভেতরের ফাঁকা জায়গা)। সাধারণত এটি দেখা যায়:

• Liver cirrhosis

• Tuberculosis (TB)

• Cancer (Malignancy)

• Heart failure

• Kidney disease

স্বাভাবিক অবস্থায় পেটে অতিরিক্ত তরল জমে না।

What is Abdominal Fluid Cell Count Test?

The Abdominal Fluid Cell Count test measures:

• Total cell count

• Differential cell count (cell type)

It helps to determine whether the fluid is:

• Inflammatory

• Infectious

• Malignant

• Non-inflammatory

👉 এই টেস্ট সাধারণত fluid analysis panel-এর একটি অংশ।

Types of Cells Checked in Abdominal Fluid

1. Total Cell Count

Measures the total number of cells per cubic millimeter (cells/mm³).

2. Differential Cell Count (Cell Type)

This includes:

• Neutrophils

• Lymphocytes

• Macrophages

• Mesothelial cells

• Malignant cells (if present)

প্রতিটি কোষের ধরন আলাদা রোগ নির্দেশ করতে পারে।

Why is Abdominal Fluid Cell Type / Cell Count Done?

Doctors recommend this test to:

• Diagnose ascites cause

• Detect infection (especially TB or bacterial peritonitis)

• Identify malignancy

• Monitor treatment response

• Differentiate between transudate and exudate fluid

Normal Range of Abdominal Fluid Cell Count

• Total cell count:
  Usually < 500 cells/mm³

• Neutrophils:
  < 250 cells/mm³ (important for infection detection)

👉 ল্যাব ও রোগভেদে রেফারেন্স ভিন্ন হতে পারে।

Interpretation of Abdominal Fluid Cell Count

🔹 Increased Neutrophils

Suggests:

• Bacterial peritonitis

• Acute infection

👉 Neutrophils >250 cells/mm³ is highly suggestive of infection.

🔹 Increased Lymphocytes

Indicates:

• Tubercular ascites

• Chronic inflammation

• Malignancy

🔹 Presence of Malignant Cells

Suggests:

• Cancer-related ascites

• Ovarian, gastrointestinal, or liver malignancy

👉 এটি একটি গুরুত্বপূর্ণ red flag।

🔹 Low Cell Count

May indicate:

• Liver cirrhosis (non-infectious)

• Cardiac or renal cause

Symptoms That May Require This Test

You may need this test if you have:

• Abdominal swelling

• Pain or discomfort in abdomen

• Fever with ascites

• Weight loss

• Jaundice

• Suspected TB or cancer

Sample Collection Method

• Procedure: Paracentesis

• Fluid collected by trained doctor

• Sterile container used

• Sample sent immediately to lab

👉 এটি একটি safe procedure when done by experts.

Is Fasting Required?

❌ No fasting required
✔ Normal diet allowed
✔ Follow doctor’s instructions

Clinical Importance of Abdominal Fluid Cell Count

• Early diagnosis of infections

• Differentiation between TB and cancer

• Helps guide antibiotic or anti-TB therapy

• Prevents complications like sepsis

Is the Test Safe?

✔ Minimal risk
✔ Done under aseptic conditions
✔ Short procedure time
✔ Widely used and reliable

When to Consult a Doctor?

Consult your doctor if:

• Cell count is high

• Neutrophils are increased

• Malignant cells are detected

• Symptoms persist despite treatment

Why Choose Our Diagnostic Center?

✔ Accurate fluid analysis
✔ Experienced laboratory professionals
✔ Advanced microscopy techniques
✔ Fast and reliable reporting
✔ Affordable test cost

আমরা accurate diagnosis ও patient-centric care নিশ্চিত করি।