What are the possible abdominal wall entries 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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Answer

The two recommended areas of abdominal wall entry for paracentesis are as follows (see the image below):

  • 2 cm below the umbilicus in the midline (through the linea alba)
  • 5 cm superior and medial to the anterior superior iliac spines on either side
Paracentesis: standard sites. Paracentesis: standard sites.

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