Patient Instructions - Ultrasound Paracentesis

An ultrasound paracentesis is a procedure in which a needle is inserted through your abdominal wall into your abdominal cavity to remove or collect fluid accumulation (called ascities). A paracentesis is done to help determine the cause of fluid build up in the abdominal cavity and/or to remove large amounts of the ascitic fluid that is causing pain or other difficulties.

Before your Procedure

• Certain medications may increase your risk of bleeding and may need to be held prior to your procedure. You may resume these medications the day after your procedure unless otherwise instructed.

During your Procedure

• With the ultrasound pictures as a guide, the radiologist will select the best site to insert the needle.

• This site is then cleaned with an antiseptic solution and a local anesthetic (numbing medication) is injected. You may feel a burning or stinging as the anesthetic is injected.

• When the abdominal cavity is entered, fluid will then be removed. Generally, up to 1 liter of fluid is removed.

• The fluid may then be sent to the lab to be examined under the microscope.

• Length of the exam is 20-30 minutes.

After your Procedure

• Rest for 1-2 hours following the exam.

• The lab will send your fluid analysis results to your physician.

Providing safe, quality patient care is our highest priority. To help ensure quality and safety, we ask that you do not bring young children with you to your appointments, as children are not allowed to accompany you during Imaging procedures. Staff is unable to monitor your child in your absence.

If you have any questions or concerns, please contact your provider.