What are the contraindications for paracentesis?

Updated: Jul 05, 2018
  • Author: Gil Z Shlamovitz, MD, FACEP; Chief Editor: Vikram Kate, MBBS, MS, PhD, FRCS, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS  more...
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An acute abdomen that requires surgery is an absolute contraindication.

Severe thrombocytopenia (platelet count < 20 × 103/μL) and coagulopathy (international normalized ratio [INR] >2.0) are relative contraindications. Other relative contraindications include the following:

  • Pregnancy
  • Distended urinary bladder
  • Abdominal-wall cellulitis
  • Distended bowel
  • Intra-abdominal adhesions

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