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2015, Number 3

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Evid Med Invest Salud 2015; 8 (3)

Hemoperitoneum in patients with liver cirrhosis

Ayala-Haro N, Sandoval-Illescas MC, Martínez-Navarro LJ, Cruz-Fabián S

Language: Spanish
References: 14
Page: 128-131
PDF size: 242.25 Kb.


ABSTRACT

Ascites is a common manifestation of decompensated cirrhosis, and abdominal paracentesis is a frequently employed diagnostic and therapeutic procedure for patients with refractory ascites. Hemorrhagic complications of this procedure are extremely rare, occurring in 0.2 to 3% of the cases, with a mortality of approximately 0.4%. Other causes of hemoperitoneum in cirrhotic patients are the related to hepatocellular carcinoma, variceal rupture, lesions of the inferior epigastric artery, abdominal trauma, and a large volume paracentesis. It is important to consider this complication and identify patients at high risk to provide adequate monitoring and prevent further complications and death.


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