Sub acute sponteneous peritonitis in cirrhosis patients the polymorphonuclear cells are: (A) More than 200 cells\/cumm, (B) More than 300 cells \/ cumm, (C) More than 400 cells \/ cumm, (D) More than 500 cells \/ cumm
Answer is A. Primary peritonitis is common in cirrhotic patients with ascites,as spontaneous bacterial peritonitis(SBP).Ascitic fluid WBC count if more than 250 cells mm3 with more than 50% cells are polymorphonuclear cells(PMN) suggestive of SBP. Reference:SRB' s manual of surgery,5th edition, page no:566.