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Case report
peer-reviewed

A Case of Large, Hemodynamically Significant Abdominal Wall Hematoma Following Paracentesis in a Cirrhotic Patient



Abstract

Paracentesis is a safe procedure with severe bleeding occurring in less than 1% of cases. Paracentesis is often times performed as an outpatient procedure. Hemorrhagic complications can be rapidly fatal if not diagnosed and treated in a timely fashion. We present the case of a 55-year-old female with decompensated cirrhosis who developed hemodynamically significant bleeding post paracentesis. This case brings up the question whether certain patients who undergo paracentesis should be admitted for close observation for at least 24 hours after the procedure. It also identifies the need for more research into pre-operative risk factors in cirrhotics that predisposes them to severe bleeding.



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Case report
peer-reviewed

A Case of Large, Hemodynamically Significant Abdominal Wall Hematoma Following Paracentesis in a Cirrhotic Patient


Author Information

Samina Afreen Corresponding Author

Internal Medicine, Howard University Hospital

Endocrinology Fellow, UPMC Presbyterian

Usha Deonarine

Internal Medicine, Howard University Hospital

Funmilola Ogundipe

Critical Care Medicine, Howard University Hospital

Alicia Thomas

Critical Care Medicine, Howard University Hospital


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Informed consent obtained. Conflicts of interest: The authors have declared that no conflicts of interest exist.


Case report
peer-reviewed

A Case of Large, Hemodynamically Significant Abdominal Wall Hematoma Following Paracentesis in a Cirrhotic Patient


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Case report
peer-reviewed

A Case of Large, Hemodynamically Significant Abdominal Wall Hematoma Following Paracentesis in a Cirrhotic Patient

  • Author Information
    Samina Afreen Corresponding Author

    Internal Medicine, Howard University Hospital

    Endocrinology Fellow, UPMC Presbyterian

    Usha Deonarine

    Internal Medicine, Howard University Hospital

    Funmilola Ogundipe

    Critical Care Medicine, Howard University Hospital

    Alicia Thomas

    Critical Care Medicine, Howard University Hospital


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Informed consent obtained. Conflicts of interest: The authors have declared that no conflicts of interest exist.

    Acknowledgements


    Article Information

    Published: July 17, 2017

    DOI

    10.7759/cureus.1483

    Cite this article as:

    Afreen S, Deonarine U, Ogundipe F, et al. (July 17, 2017) A Case of Large, Hemodynamically Significant Abdominal Wall Hematoma Following Paracentesis in a Cirrhotic Patient. Cureus 9(7): e1483. doi:10.7759/cureus.1483

    Publication history

    Received by Cureus: June 23, 2017
    Peer review began: July 03, 2017
    Peer review concluded: July 08, 2017
    Published: July 17, 2017

    Copyright

    © Copyright 2017
    Afreen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Paracentesis is a safe procedure with severe bleeding occurring in less than 1% of cases. Paracentesis is often times performed as an outpatient procedure. Hemorrhagic complications can be rapidly fatal if not diagnosed and treated in a timely fashion. We present the case of a 55-year-old female with decompensated cirrhosis who developed hemodynamically significant bleeding post paracentesis. This case brings up the question whether certain patients who undergo paracentesis should be admitted for close observation for at least 24 hours after the procedure. It also identifies the need for more research into pre-operative risk factors in cirrhotics that predisposes them to severe bleeding.



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Samina Afreen, M.D.

Internal Medicine, Howard University Hospital

For correspondence:
afreens2@upmc.edu

Usha Deonarine

Internal Medicine, Howard University Hospital

Funmilola Ogundipe

Critical Care Medicine, Howard University Hospital

Alicia Thomas

Critical Care Medicine, Howard University Hospital

Samina Afreen, M.D.

Internal Medicine, Howard University Hospital

For correspondence:
afreens2@upmc.edu

Usha Deonarine

Internal Medicine, Howard University Hospital

Funmilola Ogundipe

Critical Care Medicine, Howard University Hospital

Alicia Thomas

Critical Care Medicine, Howard University Hospital