ArticleACG case reports journal2026
Acute Pulmonary Edema and Cardiac Arrest After Large-Volume Paracentesis in a Patient With Decompensated Cirrhosis.
Article in ACG case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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3 authors.
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Abstract
Large-volume paracentesis is a well-established and generally safe treatment for refractory ascites in cirrhosis, with serious complications rarely reported. We describe a woman in her 40s with decompensated alcohol-related cirrhosis who developed acute pulmonary edema and respiratory failure on 2 occasions after large-volume paracentesis. The second episode was complicated by cardiac arrest and death despite prolonged intensive care. Proposed mechanisms include re-expansion pulmonary edema from chronic lung collapse, as well as hemodynamic instability and cardiogenic decompensation triggered by abrupt intra-abdominal pressure changes. This case highlights that even routine procedures in cirrhosis may precipitate catastrophic cardiopulmonary complications in select high-risk patients.
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