MASSIVE BLEEDING DUE TO PARACENTESIS- ACASE REPORT
Journal Name:
- İstanbul Tıp Fakültesi Dergisi
Abstract (2. Language):
Abdominal paracentesis is a generally safe intervention that is performed for diagnostic and therapeutic reasons in
patients with hepatic disease and accompanying ascites. Although abdominal wall hematomas occurring in needle
puncture site is seen at less than 2%, severe bleeding requiring transfusion develops in less than 1% of patients.
Complication rate is less than 1% in interventions performed at subinguinal median line. Bleeding complication
may be less frequent because linea alba found at this site is avascular.
In this report, we present a case who was being followed for alcoholic hepatic cirrhosis and undergone paracentesis
for tense ascites and subsequently developed abdominal wall hematoma and hemoperiton, with accompanying
literature.
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Abstract (Original Language):
Karaci¤er hastal›¤› seyrinde geliflen asitin teflhis ve tedavisinde kullan›lan abdominal parasentez genel olarak güvenli
bir giriflim olarak kabul edilmektedir. ‹¤ne girifl yerinde geliflen abdominal duvar hematom s›kl›¤› %2’den az
olmas›na ra¤men, bunlar›n %1’den az›nda transfüzyon gerektiren a¤›r kanama bulunur. Subinguinal orta hattan yap›
lan giriflimlerde komplikasyon oran› %1’den azd›r. Linea alba bölgesinin avaskuler olmas›ndan dolay› komplikasyon
daha az olabilir.
Bu yaz›da, alkolik karaci¤er sirozu ile izlenen hastada geliflen tens asit nedeniyle parasentez yap›lan ve takiben abdominal
duvar hematomu ve hemoperiton geliflen hasta, literatür eflli¤inde tart›fl›lm›flt›r.
FULL TEXT (PDF):
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