Lights and Shadows of Paracentesis: Is an Ultrasound Guided Approach Enough to Prevent Bleeding Complications?
Paracentesis is a validated procedure for diagnosing and managing ascites. Although paracentesis is a safe procedure with a 1–2% risk of complications such as bleeding, it is necessary to inform the patient about the possible adverse events. We would like to share our experience with two cases of bl...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Livers |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2673-4389/3/1/4 |
| _version_ | 1827749018593132544 |
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| author | Marta Patturelli Luca Pignata Pietro Venetucci Maria Guarino |
| author_facet | Marta Patturelli Luca Pignata Pietro Venetucci Maria Guarino |
| author_sort | Marta Patturelli |
| collection | DOAJ |
| description | Paracentesis is a validated procedure for diagnosing and managing ascites. Although paracentesis is a safe procedure with a 1–2% risk of complications such as bleeding, it is necessary to inform the patient about the possible adverse events. We would like to share our experience with two cases of bleeding after paracentesis. In our unit, two major hemorrhagic complications occurred in 162 procedures performed over the year 2020 (frequency of bleeding complications: 1.2%). We report two clinical cases of post-paracentesis abdominal wall hematomas. Despite a similar clinical presentation, the management approach was different: in the first case, embolization of the epigastric artery supplying the hematoma was performed. In the second case, conservative treatment was adopted. Our report aims to provide food for thought about a potentially challenging hemorrhagic complication, even with the risk of adverse outcomes. |
| first_indexed | 2024-03-11T06:17:01Z |
| format | Article |
| id | doaj.art-2e2e3be576ad4188872feffb21d90778 |
| institution | Directory Open Access Journal |
| issn | 2673-4389 |
| language | English |
| last_indexed | 2024-03-11T06:17:01Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Livers |
| spelling | doaj.art-2e2e3be576ad4188872feffb21d907782023-11-17T12:13:38ZengMDPI AGLivers2673-43892023-01-0131546210.3390/livers3010004Lights and Shadows of Paracentesis: Is an Ultrasound Guided Approach Enough to Prevent Bleeding Complications?Marta Patturelli0Luca Pignata1Pietro Venetucci2Maria Guarino3Gastroenterology and Hepatology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, ItalyGastroenterology and Hepatology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, ItalyAdvanced Biomedical Sciences Department, University of Naples Federico II, 80131 Naples, ItalyGastroenterology and Hepatology Unit, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Sergio Pansini 5, 80131 Naples, ItalyParacentesis is a validated procedure for diagnosing and managing ascites. Although paracentesis is a safe procedure with a 1–2% risk of complications such as bleeding, it is necessary to inform the patient about the possible adverse events. We would like to share our experience with two cases of bleeding after paracentesis. In our unit, two major hemorrhagic complications occurred in 162 procedures performed over the year 2020 (frequency of bleeding complications: 1.2%). We report two clinical cases of post-paracentesis abdominal wall hematomas. Despite a similar clinical presentation, the management approach was different: in the first case, embolization of the epigastric artery supplying the hematoma was performed. In the second case, conservative treatment was adopted. Our report aims to provide food for thought about a potentially challenging hemorrhagic complication, even with the risk of adverse outcomes.https://www.mdpi.com/2673-4389/3/1/4paracentesisabdominal wall hematomarefractory ascitesarterial embolization |
| spellingShingle | Marta Patturelli Luca Pignata Pietro Venetucci Maria Guarino Lights and Shadows of Paracentesis: Is an Ultrasound Guided Approach Enough to Prevent Bleeding Complications? Livers paracentesis abdominal wall hematoma refractory ascites arterial embolization |
| title | Lights and Shadows of Paracentesis: Is an Ultrasound Guided Approach Enough to Prevent Bleeding Complications? |
| title_full | Lights and Shadows of Paracentesis: Is an Ultrasound Guided Approach Enough to Prevent Bleeding Complications? |
| title_fullStr | Lights and Shadows of Paracentesis: Is an Ultrasound Guided Approach Enough to Prevent Bleeding Complications? |
| title_full_unstemmed | Lights and Shadows of Paracentesis: Is an Ultrasound Guided Approach Enough to Prevent Bleeding Complications? |
| title_short | Lights and Shadows of Paracentesis: Is an Ultrasound Guided Approach Enough to Prevent Bleeding Complications? |
| title_sort | lights and shadows of paracentesis is an ultrasound guided approach enough to prevent bleeding complications |
| topic | paracentesis abdominal wall hematoma refractory ascites arterial embolization |
| url | https://www.mdpi.com/2673-4389/3/1/4 |
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