Postparacentesis Genital Edema

Blumberg, Charles; Villaverde, Chandler; Gardner, Rebekah

doi:10.1016/j.amjmed.2016.02.019

Cited by 2 publications

(3 citation statements)

References 4 publications

(4 reference statements)

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“…[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%

“…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%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Post-paracentesis scrotal edema: A case report

Abed

DaCosta

Bellafiore

et al. 2023

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

show abstract

“…Our search keywords included paracentesis, genital edema, scrotal edema, and penile edema. Our literature search yielded only three case reports of swollen genitalia after a paracentesis dating back to the 1970s, with two of them describing post-paracentesis scrotal edema and one case of labial edema [7][8][9][10]. Here we report a case of isolated penile edema after a diagnostic paracentesis performed in the ED.…”

Section: Introductionmentioning

confidence: 92%