Mehmood Faisal, Khalid Amina, Tow Clara
Hospital Medicine, Albert Einstein College of Medicine, Bronx, USA.
Gastroenterology and Hepatology, Albert Einstein College of Medicine, Bronx, USA.
Cureus. 2022 Mar 25;14(3):e23472. doi: 10.7759/cureus.23472. eCollection 2022 Mar.
It is rare for patients to have hemorrhagic complications after abdominal paracentesis. Abdominal wall hematomas and hemoperitoneum are the most common hemorrhagic complications of paracentesis. The incidence rate of hemorrhage-related complications is unknown. The risk of hemorrhage-related complications can be elevated in patients with underlying kidney disease and those who are thrombocytopenic or coagulopathic. However, there is no correlation between the degree of thrombocytopenia or coagulopathy and the risk of bleeding. It is important to identify the high-risk patients to prevent these hemorrhage-related complications. In rare instances, secondary complications can develop from hemoperitoneum. We present a case of a cirrhotic patient who underwent a diagnostic paracentesis leading to subsequent intra-abdominal hematoma followed by small bowel obstruction (SBO) due to large abdominal hematoma compressing small bowel loops.
腹部穿刺术后患者出现出血并发症的情况较为罕见。腹壁血肿和腹腔积血是穿刺最常见的出血并发症。与出血相关并发症的发生率尚不清楚。患有基础肾脏疾病、血小板减少或凝血功能障碍的患者，与出血相关并发症的风险可能会升高。然而，血小板减少或凝血功能障碍的程度与出血风险之间并无关联。识别高危患者对于预防这些与出血相关的并发症很重要。在极少数情况下，腹腔积血可引发继发性并发症。我们报告一例肝硬化患者，其接受诊断性穿刺后出现腹腔内血肿，随后因巨大腹部血肿压迫小肠袢导致小肠梗阻（SBO）。
