Abdominal paracentesis complicated by perforation of a penetrating arterial branch is an extremely rare complication. We report 2 patients who presented with abdominal wall pseudoaneurysms following abdominal paracentesis for the evaluation and treatment of their hepatic dysfunction. We subsequently review the treatment modalities and interventions performed in each case.
De GottardiAThevenotTSpahrL. Risk of complications after abdominal paracentesis in cirrhotic patients: a prospective study. Clin Gastroenterol Hepatol. 2009;7(8):906–909.
2.
SatijaBKumarSDuggalRKKohliS. Deep circumflex iliac artery pseudoaneurysm as a complication of paracentesis. J Clin Imaging Sci. 2012;2:10.
3.
ParkSWChangSHYunIJLeeHW. Deep circumflex iliac artery-related hemoperitneum formation after surgical drain placement: successful transcatheter embolization. Cardiovasc Intervent Radiol. 2010;33(2):402–405.
4.
ParkYJLeeSYKimSHKimIHKimSWLeeSO. Transcatheter coil embolization of the inferior epigastric artery in a huge abdominal wall hematoma caused by paracentesis in a patient with liver cirrhosis. Korean J Hepatol. 2011;17(3):233–237.
5.
YamakadoKNakatsukaATanakaNTakanoKMatsumuraKTakedaK. Transcatheter arterial embolization of ruptured pseudoaneurysms with coils and n-butyl cyanoacrylate. J Vasc Interv Radiol. 2000;11(1):66–72.
6.
LoffroyRRaoPOtaS. Packing technique for endovascular coil embolization of peripheral arterial pseudo-aneurysms with preservation of the parent artery: safety, efficacy and outcomes. Eur J Vasc Endovasc Surg. 2010;40(2):209–215.
7.
AmitranoLGuardscioneMABancaccioVBalzanoA. Coagulation disorders in liver disease. Semin Liver Dis. 2002;22(1):83–96.
8.
SantosMBSilvaSBettencourtV. Ultrasound-guided thrombin-gelatin injection is effective for the treatment of iatrogenic femoral artery pseudoaneurysms: Initial results. Catheter Cardiovasc Interv. 2013;81(2):303–307.
9.
MorganRBelliAM. Current treatment methods for postcatheterization pseudoaneurysms. J Vasc Interv Radiol. 2003;4(6):697–710.
10.
HamraouiKErnstSMvan DesselPF. Efficacy and safety of percutaneous treatment of iatrogenic femoral artery pseudoaneurysm by biodegradable collagen injection. J Am Coll Cardiol. 2002;39(8):1297–1304.