What are complications of paracentesis in ascites?

Updated: Dec 29, 2017
  • Author: Rahil Shah, MD; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Answer

Complications of paracentesis include infection, electrolyte imbalances, bleeding, and bowel perforation. Bowel perforation should be considered in any patient with recent paracentesis who develops a new onset of fever and/or abdominal pain. All patients with long-standing ascites are at risk of developing umbilical hernias. Large-volume paracentesis often results in large intravascular fluid shifts. This can be avoided by administering albumin replacement if more than 5 L is removed.


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