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Hemorrhagic complications following paracentesis
Javier Jiménez Sánchez1, Juan José Martínez Crespo1, José Antonio Pons Miñano2
1Aparato Digestivo, Hospital General Universitario Reina Sofía, España.
Revista Espanola De Enfermedades Digestivas
|September 21, 2020
Summary
Paracentesis, a common procedure, can cause severe bleeding complications. This study presents two cases successfully treated with embolization and offers management recommendations.
Area of Science:
- Interventional Radiology
- Gastroenterology
- Vascular Surgery
Background:
- Paracentesis is a widely used diagnostic and therapeutic procedure.
- Despite its reputation for safety, paracentesis carries risks, including severe complications.
- Hemorrhagic complications following paracentesis are rare but can be serious.
Purpose of the Study:
- To report two cases of significant hemorrhage after paracentesis.
- To discuss the management of post-paracentesis hemorrhage.
- To provide recommendations for the prevention and management of paracentesis-induced bleeding.
Main Methods:
- Case report of two patients experiencing hemorrhagic complications post-paracentesis.
- Treatment involved percutaneous transarterial embolization (PTAE).
- Review of literature and formulation of recommendations.
Main Results:
- Both patients presented with severe bleeding after paracentesis.
- Successful hemostasis was achieved in both cases using PTAE.
- PTAE proved effective in managing post-paracentesis hemorrhage.
Conclusions:
- Hemorrhagic complications, though infrequent, can occur after paracentesis.
- Percutaneous transarterial embolization is a viable treatment option.
- Standardized guidelines for prevention and management are needed.
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