Thomson A, Cain P, Kerlin P, Strong R
Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
J Clin Gastroenterol. 1998 Jun;26(4):306-8. doi: 10.1097/00004836-199806000-00020.
We describe two patients awaiting orthoptic liver transplantation in whom diagnostic paracentesis for the diagnosis of spontaneous bacterial peritonitis led to major hemorrhage. Accordingly, we advise caution in patients such as ours, particularly if the prothrombin time or partial thromboplastin time is more than twice the control value.