Felis ISSN 2398-2950

Abdominocentesis

Synonym(s): Paracentesis

Contributor(s): Kyle Braund

Introduction

  • Diagnosis and therapeutic removal of free peritoneal fluid.

Uses

  • Diagnosis of cause of free peritoneal fluid either palpated or visualized on radiograph.
  • Diagnosis of cause of acute abdomen, eg in cases of ruptured urinary Bladder: trauma rupture or biliary tracts.
  • Therapeutic removal of ascitic fluid in cases refractory to diet or drug treatments.
  • Preliminary step to diagnostic peritoneal lavage.

Advantages

  • Simple.
  • Minimally invasive.
  • Performed in conscious, standing animal.
  • Positive result likely to aid diagnosis.

Disadvantages

  • Limited sensitivity (50%) because of frequent false negative results.
  • Mobility of abdominal contents means needle susceptible to occlusion.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Crowe D T, Crane S W (1976) Diagnostic abdominal paracentesis and lavage in the evaluation of abdominal injuries in dogs and cats - clinical and experimental investigations. JAVMA 168 (8), 700-705 PubMed.
  • Barrett R P (1975) A new method of abdominal and thoracic paracentesis in the dog and cat. Vet Med Small Anim Clin 70 (1), 76+78 PubMed.
  • Scott R C, Wilkins R J, Greens R W (1974) Abdominal paracentesis and cystocentesis. Vet Clin North Am (2), 413-417 PubMed.


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