A fatal complication of ultrasound-guided abdominal paracentesis

作者:Seidler Matthew; Sayegh Karl; Roy Anne; Mesurolle Benoit*
来源:Journal of Clinical Ultrasound, 2013, 41(7): 457-460.
DOI:10.1002/jcu.22050

摘要

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.

  • 出版日期2013-9