A Complication of Paracentesis Due to Hyperfibrinolysis: Hemoperitoneum

An unusual case of life-threatening hemoperitoneum after colonoscopy.

A 59-year-old man was hospitalized with acid reflux and diarrhea. Colonoscopy was performed while the patient was under propofol anesthesia, and no abnormalities were observed. However, at 3.5 hours following the colonoscopy, the patient had persistent dull pain in the lower abdomen. Physical examination indicated abdominal tenderness and rebound tenderness. The results of a digital rectal exam...

A Rare Complication with the Concomitant use of Warfarin and Nonsteroidal Anti-Inflammatory Drugs: Hemoperitoneum and Intramural Small Bowel Hematoma

Ultrasound-guided percutaneous periarterial thrombin injection for paracentesis-related hemoperitoneum

Paracentesis is a common procedure used in the diagnostic evaluation of peritoneal fluid as well as the therapeutic removal of high-volume ascites. Although generally regarded as a safe procedure, complications may arise from arterial injury, including hematomas and pseudoaneurysms. Transcatheter embolization and surgery are first-line interventions for injuries refractory to conservative manag...

Hemorrhagic Complications of Paracentesis: A Systematic Review of the Literature

Introduction. Large volume paracentesis is considered a safe procedure carrying minimal risk of complications and rarely causing morbidity or mortality. The most common complications of the procedure are ascitic fluid leakage, hemorrhage, infection, and perforation. The purpose of this study was to evaluate all hemorrhagic complications and their outcomes and to identify any common variables. M...

Recurrent pneumothorax following abdominal paracentesis.

A 62 year old man presented with abdominal ascites, without pleural effusion, due to peritoneal mesothelioma. He had chronic obstructive airways disease and a past history of right upper lobectomy for tuberculosis. On two occasions abdominal paracentesis was followed within 72 hours by pneumothorax. This previously unreported complication of abdominal paracentesis may be due to increased diaphr...