{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:36:42Z","timestamp":1787773002712,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Complications of diagnostic and therapeutic paracentesis include bowel perforation, hemorrhage, and death. At present, medical practitioners identify an area for paracentesis using either physical examination alone or with the addition of ultrasound. The preferable method is still debated within the medical literature. This case series compares photographs of patients with abdominal distension, diagnosed as ascites by physical examination, to the respective ultrasound findings. The ultrasound images show a variety of findings: large volume ascites, bowel loops extending to the abdominal wall (unilaterally or bilaterally), and distended bowel loops due to intestinal obstruction in the absence of substantial ascites. Studies have shown that performing ultrasound before ascites paracentesis procedures improves the procedure success rate and reduces complications. This case series illustrates examples of why ultrasound-assisted paracentesis has a better safety profile and a lower procedure failure rate, compared to physical examination techniques alone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmu.jmu_35_21","type":"journal-article","created":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T00:06:52Z","timestamp":1648080412000},"page":"50-53","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Ultrasound Findings in Suspected Ascites Referred for Paracentesis"],"prefix":"10.4103","volume":"30","author":[{"given":"Jan Christian","family":"Droste","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christy","family":"Riggott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"Maxfield","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jodie","family":"Bennett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-12-20240830","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1148\/96.1.15","article-title":"Evaluation of ascites by ultrasound","volume":"96","author":"Goldberg","year":"1970","journal-title":"Radiology"},{"key":"R2-12-20240830","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.2214\/ajr.147.6.1241","article-title":"Portable real-time sonographic and needle guidance systems for aspiration and drainage","volume":"147","author":"McGahan","year":"1986","journal-title":"AJR Am J Roentgenol"},{"key":"R3-12-20240830","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/j.ajem.2004.11.001","article-title":"Ultrasound-assisted abdominal paracentesis performed by emergency physicians vs the traditional technique: A prospective randomised study","volume":"23","author":"Nazeer","year":"2005","journal-title":"Am J Emerg Med"},{"key":"R4-12-20240830","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1378\/chest.12-0447","article-title":"Ultrasound guidance decreases complications and improves the cost of care among patients undergoing thoracentesis and paracentesis","volume":"143","author":"Mercaldi","year":"2013","journal-title":"Chest"},{"key":"R5-12-20240830","doi-asserted-by":"crossref","first-page":"E7","DOI":"10.12788\/jhm.3095","article-title":"Recommendations on the use of ultrasound guidance for adult abdominal paracentesis: A position statement of the society of hospital medicine","volume":"14","author":"Cho","year":"2019","journal-title":"J Hosp Med"},{"key":"R6-12-20240830","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/j.cgh.2009.05.004","article-title":"Risk of complications after abdominal paracentesis in cirrhotic patients: A prospective study","volume":"7","author":"De Gottardi","year":"2009","journal-title":"Clin Gastroenterol Hepatol"},{"key":"R7-12-20240830","first-page":"A4212","article-title":"Few complications after paracentesis in patients with cirrhosis and refractory ascites","volume":"58","author":"Wiese","year":"2011","journal-title":"Dan Med Bull"},{"key":"R9-12-20240830","doi-asserted-by":"crossref","first-page":"1164","DOI":"10.1001\/jama.1982.03320330060027","article-title":"The accuracy of the physical examination in the diagnosis of suspected ascites","volume":"247","author":"Cattau","year":"1982","journal-title":"JAMA"},{"key":"R10-12-20240830","doi-asserted-by":"crossref","first-page":"2645","DOI":"10.1001\/jama.1992.03480190087038","article-title":"The rational clinical examination? How to divine fluid in the abdomen","volume":"267","author":"Williams","year":"1992","journal-title":"JAMA"}],"container-title":["Journal of Medical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/JMU.JMU_35_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:15:20Z","timestamp":1787771720000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/JMU.JMU_35_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jmu.jmu_35_21","relation":{},"ISSN":["0929-6441"],"issn-type":[{"value":"0929-6441","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}