Abstract：
The occurrence of an abdominal wall hematoma caused by abdominal paracentesis in patients with liver cirrhosis is rare. This paper presents a case of an abdominal wall hematoma caused by abdominal paracentesis in a 67-year-old woman with liver cirrhosis with a review of the relevant literature. Two days prior, the patient underwent abdominal paracentesis for symptom relief for refractory ascites at a local clinic. Upon admission, a physical examination revealed purpuric patches with swelling and mild tenderness in the left lower quadrant of the abdominal wall. Abdominal computed tomography revealed advanced liver cirrhosis with splenomegaly, tortuous dilatation of the para-umbilical vein, a large volume of ascites, and a large acute hematoma at the left lower quadrant of the abdominal wall. An external iliac artery angiogram showed the extravasation of contrast media from the left deep circumflex iliac artery. Embolization of the target arterial branches using N-butyl-2-cyanoacrylate was then performed, and the bleeding was stopped. The final diagnosis was an abdominal wall hematoma from the left deep circumflex iliac artery after abdominal paracentesis in a patient with liver cirrhosis.
摘要：
肝硬化患者很少发生由腹腔穿刺术引起的腹壁血肿。本文介绍一例67岁女性肝硬化患者因腹腔穿刺术引起腹壁血肿的病例，并复习相关文献。前两天,该患者在当地诊所接受了腹腔穿刺术，以缓解顽固性腹水的症状。一被录取,体格检查显示紫癜性斑块，腹壁左下象限有肿胀和轻度压痛。腹部计算机断层扫描显示晚期肝硬化伴脾肿大，脐静脉旁的曲折扩张，大量的腹水，腹壁左下象限有大量急性血肿。髂外动脉造影显示左旋髂深动脉造影剂外渗。然后使用N-丁基-2-氰基丙烯酸酯对目标动脉分支进行栓塞，止血.最终诊断为肝硬化患者腹腔穿刺术后左旋深髂动脉腹壁血肿。
