General
Stats:
- Description-The collection
of fluid within the abdomen is a sign of significant disease. This fluid
can be drawn out of the abdomen and analyzed to determine is cause of its
accumulation. Possible causes of ascites include liver disease, infection
and cancer. At times, the amount of fluid collected may cause problems (discomfort
or problems breathing). A large amount of the fluid can be removed in such
situations to provide patient relief. A paracentesis is performed by a doctor
in an office, at a x-ray facility or at a hospital. The fluid as aspirated
via a needle inserted into the abdominal cavity. The fluid is analyzed in
a lab to determine its composition. The test can take from 5-45 minutes.
- Discomfort -
Pain at puncture site.
- Results - 1-3 days.
- Risks of Procedure
- Infection, bleeding, puncture of internal organs by the needle. Blood
pressure may fall if too much fluid is removed too rapidly.
- Average Cost - $$
- Other names:
Fluid tap.
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Indication for the
Test
- Identify the source
or cause of fluid collection within the abdomen.
- To provide relief
of discomfort or shortness of breath related to ascites. [Back
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Preparation
- Limit food intake
for 4 hours before the test.
- Empty bladder before
the test.
- You might be asked
to wear a hospital gown.
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Procedure
- While lying on your
back local anesthesia is given and a needle is inserted into the abdomen.
Fluid id then withdrawn and sent to the lab.
- A CT scan or abdominal
ultrasound may be used to guide the needle into the abdomen.
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After the Test
- Dressing is placed
over the puncture site.
- The site is observed
for leakage.
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Factors affecting results
Advantages
- The test is simple.
- The test is relatively
safe.
- The test can provide
for relief of discomfort or shortness of breath related to the fluid.
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Disadvantages