A 56-year-old man with a history of alcohol-related cirrhosis for 15 years with recurrent ascites presented to our emergency department with extensive abdominal swelling and pain for the past 2 months (Figures 1 and 2). His last paracentesis was 2 months ago, but he was unable to follow-up because of COVID restrictions. His abdominal pain was in a band-like distribution and was associated with anorexia and lower extremity edema despite being on diuretics. He has remained sober for the past year, continues to follow in the hepatology clinic, and has been placed on the transplant list.
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