Seidler Matthew, Sayegh Karl, Roy Anne, Mesurolle Benoît
Radiology Department, McGill University Health Center, Royal Victoria Hospital, 687 Pine Avenue West, Montreal, Quebec, H3H 1A1, Canada.
J Clin Ultrasound. 2013 Sep;41(7):457-60. doi: 10.1002/jcu.22050. Epub 2013 Apr 22.
Ultrasound-guided abdominal paracentesis is a procedure that is frequently performed by radiologists for both diagnostic and therapeutic purposes. This procedure has been shown to be safe with few complications. We report the case of a patient who underwent an ultrasound-guided therapeutic abdominal paracentesis for refractory ascites complicated by intraperitoneal hemorrhage leading to death. This case suggests that ultrasound-guided paracentesis may need to become a more standardized procedure and that in the event of hemorrhage, alternative treatment options such as embolization or surgical intervention should be utilized when manual compression fails.
超声引导下腹腔穿刺术是放射科医生经常进行的一种用于诊断和治疗目的的操作。该操作已被证明是安全的，并发症较少。我们报告了一例患者，该患者因难治性腹水接受超声引导下治疗性腹腔穿刺术，并发腹腔内出血导致死亡。该病例表明，超声引导下腹腔穿刺术可能需要成为一种更标准化的操作，并且在发生出血时，当手动压迫无效时应采用栓塞或手术干预等替代治疗选择。
