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A 61-year-old man presented with accumulation of ascites secondary to alcoholic liver disease. He had an ascitic drain sited and 24 hours later he developed acute colonic pseudo-obstruction (ACPO). This is a rare condition previously associated with major surgery and severe sepsis. The patient did well with conservative management, and avoided the need for endoscopic decompression or surgical intervention. We believe that this is the first report of ACPO secondary to abdominal paracentesis.

Original publication

DOI

10.1136/bcr-2016-216077

Type

Journal article

Journal

BMJ Case Rep

Publication Date

09/01/2017

Volume

2017

Keywords

Acute Disease, Ascites, Colon, Transverse, Colonic Pseudo-Obstruction, Diagnosis, Differential, Drainage, Humans, Male, Middle Aged, Paracentesis, Tomography, X-Ray Computed