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Blood Coagul Fibrinolysis. 2006 Sep;17(6):491-3.

Life-threatening hematoma associated with paracentesis: a case report.

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  • 1Department of Internal Medicine, Long Island College Hospital, Brooklyn, New York 11201, USA.


Deep venous thrombosis prophylaxis is recommended in all high-risk hospitalized medical patients. We describe a unique complication of paracentesis in a patient receiving unfractionated heparin for deep venous thrombosis prophylaxis. Our patient developed a very large rectus sheath hematoma and hypotension gradually after paracentesis. Heparin should be used with caution for deep venous thrombosis prophylaxis in patients undergoing paracentesis.

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