A fatal complication of ultrasound‐guided abdominal paracentesis
ABSTRACT Ultrasound‐guided abdominal paracentesis is a procedure that is frequently performed by radiologists for both diagnostic and therapeutic purposes. This procedure has been shown to be safe with few complications. We report the case of a patient who underwent an ultrasound‐guided therapeutic...
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| Published in: | Journal of clinical ultrasound Vol. 41; no. 7; pp. 457 - 460 |
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| Abstract | ABSTRACT
Ultrasound‐guided abdominal paracentesis is a procedure that is frequently performed by radiologists for both diagnostic and therapeutic purposes. This procedure has been shown to be safe with few complications. We report the case of a patient who underwent an ultrasound‐guided therapeutic abdominal paracentesis for refractory ascites complicated by intraperitoneal hemorrhage leading to death. This case suggests that ultrasound‐guided paracentesis may need to become a more standardized procedure and that in the event of hemorrhage, alternative treatment options such as embolization or surgical intervention should be utilized when manual compression fails. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound 41:457–460, 2013; |
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| AbstractList | Ultrasound-guided abdominal paracentesis is a procedure that is frequently performed by radiologists for both diagnostic and therapeutic purposes. This procedure has been shown to be safe with few complications. We report the case of a patient who underwent an ultrasound-guided therapeutic abdominal paracentesis for refractory ascites complicated by intraperitoneal hemorrhage leading to death. This case suggests that ultrasound-guided paracentesis may need to become a more standardized procedure and that in the event of hemorrhage, alternative treatment options such as embolization or surgical intervention should be utilized when manual compression fails. [copy 2013 Wiley Periodicals, Inc. J Clin Ultrasound 41:457-460, 2013; Ultrasound-guided abdominal paracentesis is a procedure that is frequently performed by radiologists for both diagnostic and therapeutic purposes. This procedure has been shown to be safe with few complications. We report the case of a patient who underwent an ultrasound-guided therapeutic abdominal paracentesis for refractory ascites complicated by intraperitoneal hemorrhage leading to death. This case suggests that ultrasound-guided paracentesis may need to become a more standardized procedure and that in the event of hemorrhage, alternative treatment options such as embolization or surgical intervention should be utilized when manual compression fails. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound 41:457-460, 2013; [PUBLICATION ABSTRACT] Ultrasound-guided abdominal paracentesis is a procedure that is frequently performed by radiologists for both diagnostic and therapeutic purposes. This procedure has been shown to be safe with few complications. We report the case of a patient who underwent an ultrasound-guided therapeutic abdominal paracentesis for refractory ascites complicated by intraperitoneal hemorrhage leading to death. This case suggests that ultrasound-guided paracentesis may need to become a more standardized procedure and that in the event of hemorrhage, alternative treatment options such as embolization or surgical intervention should be utilized when manual compression fails. Ultrasound‐guided abdominal paracentesis is a procedure that is frequently performed by radiologists for both diagnostic and therapeutic purposes. This procedure has been shown to be safe with few complications. We report the case of a patient who underwent an ultrasound‐guided therapeutic abdominal paracentesis for refractory ascites complicated by intraperitoneal hemorrhage leading to death. This case suggests that ultrasound‐guided paracentesis may need to become a more standardized procedure and that in the event of hemorrhage, alternative treatment options such as embolization or surgical intervention should be utilized when manual compression fails. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound 41 :457–460, 2013; ABSTRACT Ultrasound‐guided abdominal paracentesis is a procedure that is frequently performed by radiologists for both diagnostic and therapeutic purposes. This procedure has been shown to be safe with few complications. We report the case of a patient who underwent an ultrasound‐guided therapeutic abdominal paracentesis for refractory ascites complicated by intraperitoneal hemorrhage leading to death. This case suggests that ultrasound‐guided paracentesis may need to become a more standardized procedure and that in the event of hemorrhage, alternative treatment options such as embolization or surgical intervention should be utilized when manual compression fails. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound 41:457–460, 2013; |
| Author | Mesurolle, Benoît Roy, Anne Seidler, Matthew Sayegh, Karl |
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| References | 1986; 135 2004; 40 2009; 20 2004; 39 1992; 117 2005; 21 2005; 3 1996; 131 2007; 52 2012; 15 1996; 91 2011; 17 2001; 56 2010; 7 2009; 49 2009; 15 2006; 355 e_1_2_4_3_1 e_1_2_4_2_1 e_1_2_4_5_1 e_1_2_4_4_1 e_1_2_4_7_1 e_1_2_4_6_1 e_1_2_4_9_1 e_1_2_4_8_1 e_1_2_4_10_1 Webster ST (e_1_2_4_14_1) 1996; 91 e_1_2_4_12_1 e_1_2_4_13_1 e_1_2_4_15_1 e_1_2_4_16_1 e_1_2_4_18_1 e_1_2_4_17_1 Bard C (e_1_2_4_11_1) 1986; 135 |
| References_xml | – volume: 39 start-page: 841 year: 2004 article-title: Management of adult patients with ascites due to cirrhosis publication-title: Hepatology – volume: 91 start-page: 366 year: 1996 article-title: Hemorrhagic complications of large volume abdominal paracentesis publication-title: Am J Gastroenterol – volume: 15 start-page: 1 year: 2012 article-title: Evaluation of hospital complications and costs associated with using ultrasound guidance during abdominal paracentesis procedures publication-title: J Med Econ – volume: 117 start-page: 215 year: 1992 article-title: The serum‐ascites albumin gradient is superior to the exudate‐transudate concept in the differential diagnosis of ascites publication-title: Ann Intern Med – volume: 135 start-page: 209 year: 1986 article-title: Ascites: ultrasound guidance or blind paracentesis? publication-title: CMAJ – volume: 7 start-page: 859 year: 2010 article-title: National fluid shifts: fifteen‐year trends in paracentesis and thoracentesis procedures publication-title: J Am Coll Radiol – volume: 20 start-page: S240 year: 2009 article-title: Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image‐guided interventions publication-title: J Vasc Interv Radiol – volume: 3 start-page: 1187 year: 2005 article-title: Management of refractory ascites publication-title: Clin Gastroenterol Hepatol – volume: 40 start-page: 484 year: 2004 article-title: Performance standards for therapeutic abdominal paracentesis publication-title: Hepatology – volume: 49 start-page: 2087 year: 2009 article-title: Management of adult patients with ascites due to cirrhosis: an update publication-title: Hepatology – volume: 355 start-page: e21 year: 2006 article-title: Videos in clinical medicine publication-title: Paracentesis. N Engl J Med – volume: 15 start-page: 67 year: 2009 article-title: Evaluation and management of patients with refractory ascites publication-title: World J Gastroenterol – volume: 52 start-page: 3307 year: 2007 article-title: An evidence‐based manual for abdominal paracentesis publication-title: Dig Dis Sci – volume: 56 start-page: 989 year: 2001 article-title: Inadvertent puncture of the inferior epigastric artery during needle biopsy with fatal outcome publication-title: Clin Radiol – volume: 21 start-page: 525 year: 2005 article-title: Severe haemorrhage following abdominal paracentesis for ascites in patients with liver disease publication-title: Aliment Pharmacol Ther – volume: 131 start-page: 102 year: 1996 article-title: Pseudoaneurysm of the inferior epigastric artery. Pathogenesis, diagnosis, and treatment publication-title: Arch Surg – volume: 17 start-page: 233 year: 2011 article-title: Transcatheter coil embolization of the inferior epigastric artery in a huge abdominal wall hematoma caused by paracentesis in a patient with liver cirrhosis publication-title: Korean J Hepatol – ident: e_1_2_4_3_1 doi: 10.1111/j.1365-2036.2005.02387.x – ident: e_1_2_4_9_1 doi: 10.1002/hep.20066 – ident: e_1_2_4_17_1 doi: 10.3350/kjhep.2011.17.3.233 – ident: e_1_2_4_18_1 doi: 10.1001/archsurg.1996.01430130104024 – ident: e_1_2_4_7_1 doi: 10.1007/s10620-007-9805-5 – ident: e_1_2_4_2_1 doi: 10.1016/j.jacr.2010.04.013 – volume: 135 start-page: 209 year: 1986 ident: e_1_2_4_11_1 article-title: Ascites: ultrasound guidance or blind paracentesis? publication-title: CMAJ contributor: fullname: Bard C – ident: e_1_2_4_6_1 doi: 10.7326/0003-4819-117-3-215 – ident: e_1_2_4_8_1 doi: 10.1056/NEJMvcm062234 – ident: e_1_2_4_15_1 doi: 10.1053/crad.2001.0175 – ident: e_1_2_4_12_1 doi: 10.3748/wjg.15.67 – ident: e_1_2_4_13_1 doi: 10.1002/hep.20317 – ident: e_1_2_4_5_1 doi: 10.1002/hep.22853 – volume: 91 start-page: 366 year: 1996 ident: e_1_2_4_14_1 article-title: Hemorrhagic complications of large volume abdominal paracentesis publication-title: Am J Gastroenterol contributor: fullname: Webster ST – ident: e_1_2_4_4_1 doi: 10.1016/j.jvir.2008.11.027 – ident: e_1_2_4_10_1 doi: 10.3111/13696998.2011.628723 – ident: e_1_2_4_16_1 doi: 10.1016/S1542-3565(05)00861-X |
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| Snippet | ABSTRACT
Ultrasound‐guided abdominal paracentesis is a procedure that is frequently performed by radiologists for both diagnostic and therapeutic purposes.... Ultrasound-guided abdominal paracentesis is a procedure that is frequently performed by radiologists for both diagnostic and therapeutic purposes. This... Ultrasound‐guided abdominal paracentesis is a procedure that is frequently performed by radiologists for both diagnostic and therapeutic purposes. This... |
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| SubjectTerms | Aged Ascites - diagnostic imaging Ascites - surgery embolization Fatal Outcome Hemoperitoneum - etiology hemorrhage Humans interventional Male paracentesis Paracentesis - adverse effects Paracentesis - methods Ultrasonic imaging ultrasonography Ultrasonography, Doppler Ultrasonography, Interventional |
| Title | A fatal complication of ultrasound‐guided abdominal paracentesis |
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