Isolated Penile Edema After Diagnostic Paracentesis

Ojalvo, Israel; Salib, Andrew; Rodriguez, Carlos

doi:10.7759/cureus.7329

Cited by 1 publication

(3 citation statements)

References 14 publications

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“…14 Post-paracentesis genital edema, as seen in the patient presented above, is an exceedingly rare complication of the procedure. [4][5][6]15,16 The edema can present in the scrotum or the penis in males or in the labia in females. [4][5][6]15,16 The proposed mechanism is by the creation of a fistula between the peritoneal cavity and the subcutaneous tissues, with dissection of ascitic fluid between Camper's and Scarpa's fascia downward into the continuous tissues of the scrotum.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6]15,16 The edema can present in the scrotum or the penis in males or in the labia in females. [4][5][6]15,16 The proposed mechanism is by the creation of a fistula between the peritoneal cavity and the subcutaneous tissues, with dissection of ascitic fluid between Camper's and Scarpa's fascia downward into the continuous tissues of the scrotum. 6 Although this complication is not generally life-threatening, it can be bothersome to patients.…”

Section: Discussionmentioning

confidence: 99%

“…It is important to note that this complication might recur with future paracentesis procedures. 16 For patients who receive multiple therapeutic paracentesis for recurrent ascites, it is important to educate them on the risk of recurrence.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Post-paracentesis scrotal edema: A case report

Abed

DaCosta

Bellafiore

et al. 2023

SAGE Open Medical Case Reports

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Abdominal paracentesis is a common and safe procedure used to remove ascitic fluid from the body. It is performed in both the inpatient and outpatient setting and can be used for both diagnostic and therapeutic purposes. The most common complications of this procedure include a persistent fluid leak, an infection from the puncture site and an abdominal wall hematoma. The finding of sudden-onset massive genital swelling is a rare, and only occasionally reported, complication of a paracentesis. This article will discuss the case of a 58-year-old male with decompensated liver cirrhosis who presented with sudden-onset scrotal and penile swelling within 12 h after a paracentesis. After ruling out other causes of scrotal swelling, it was concluded that this is likely a complication of the recent paracentesis. The scrotal swelling was treated with conservative management including oral diuretic therapy and scrotal elevation, and the patient showed significant improvement in symptoms in 2 days. The cause of post-paracentesis scrotal edema is not widely studied; however, it is hypothesized to be caused by a fistula tract that forms between the peritoneal cavity and the Camper’s and Scarpa’s fascia which causes fluid to collect in the scrotum.

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