• J Clin Ultrasound · Sep 2013

    Case Reports

    A fatal complication of ultrasound-guided abdominal paracentesis.

    • Matthew Seidler, Karl Sayegh, Anne Roy, and Benoît Mesurolle.
    • Radiology Department, McGill University Health Center, Royal Victoria Hospital, 687 Pine Avenue West, Montreal, Quebec, H3H 1A1, Canada.
    • J Clin Ultrasound. 2013 Sep 1;41(7):457-60.

    AbstractUltrasound-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.Copyright © 2013 Wiley Periodicals, Inc.

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