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http://hdl.handle.net/20.500.12188/9774
Наслов: | PARACENTESIS-INDUCED ABDOMINAL WALL HEMATOMA: CASE REPORT AND REVIEW OF LITERATURE | Other Titles: | ХЕМАТОМ НА АБДОМИНАЛЕН ЗИД АСОЦИРАН СО ПАРАЦЕНТЕЗА: ПРИКАЗ НА СЛУЧАЈ И ПРЕГЛЕД НА ЛИТЕРАТУРАТА | Authors: | Curakova Ristovska, Elena Genadieva Dimitrova, Magdalena Grivcheva Stardelova, Kalina Chaloska-Ivanova Viktorija Joksimovikj, Nenad Nikolovska, Emilija Milicevic Ivana |
Keywords: | hematoma paracentesis bleeding complications liver cirrhosis |
Issue Date: | 2019 | Publisher: | Македонско лекарско друштво = Macedonian medical association | Journal: | Македонски медицински преглед = Macedonian medical review | Abstract: | Despite the well-known coagulopathy-associated compli-cations, paracentesis is considered a relatively safe procedure when performed inpatients with liver cirrho-sis. We present a case of a large abdominal wall hema-toma after paracentesisin a 72-years-old male with de-compensated cirrhosis, portal hypertension, refractory ascites and moderately prolonged prothrombin time. Several hours after therapeutic paracentesis wasperfor-med at the usual point, in the left lower abdominal quad-rant, the patient was admitted with severe abdominal pain, circulatory instability and significant blood loss. Ultrasound of the abdominal wall revealed a 10 cm intra-mural hematoma at the puncture site.In addition to the usual resuscitative measures, the patient required fresh frozen plasma and five units of cryoprecipitate for defi-nitive stabilization. Paracentesis-associated abdominal wall hematoma is a potentially serious, life-threatening complication requiring invasive therapeutic interven-tion in most cases. In some caseshowever the conser-vative treatment with cryoprecipitate and fresh frozen plasma can also be quite effective. | URI: | http://hdl.handle.net/20.500.12188/9774 | ISSN: | 0025-1097 |
Appears in Collections: | Faculty of Medicine: Journal Articles |
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File | Опис | Size | Format | |
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PARACENTESIS-INDUCED ABDOMINAL WALL HEMATOMA-CASE REPORT AND REVIEW OF LITERATURE (1).pdf | 496.81 kB | Adobe PDF | View/Open |
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