case_images: PMC9030354_01
case_images: Patient 1: Decompensated liver cirrhosis - abdominal photograph: Distended abdomen
case_images: JMU-30-50-g001.jpg
case_images: PMC9030354_01_JMU-30-50-g001.jpg
case_images: F1
case_images: The first patient was a middle-aged man with known decompensated alcohol-induced liver disease who presented with marked abdominal distension [photograph displayed in Figure 1].
case_images: Patient 1: Ultrasound findings - large ascites, equally distributed in abdomen, safe for paracentesis
case_images: JMU-30-50-g002.jpg
case_images: PMC9030354_01_JMU-30-50-g002.jpg
case_images: F2
case_images: He was found to have large volume ascites on ultrasound [Figure 2].
case_images: PMC9030354_02
case_images: Patient 2: Decompensated liver cirrhosis - abdominal photograph: Severely distended abdomen
case_images: JMU-30-50-g003.jpg
case_images: PMC9030354_02_JMU-30-50-g003.jpg
case_images: F3
case_images: The second example is a young woman with decompensated alcohol-induced liver disease, presenting with severe abdominal distension [photograph displayed in Figure 3].
case_images: Patient 2: Ultrasound findings - multiple distended bowel loops reaching below abdominal wall - unsafe for paracentesis on both sides
case_images: JMU-30-50-g004.jpg
case_images: PMC9030354_02_JMU-30-50-g004.jpg
case_images: F4
case_images: Ultrasound showed multiple distended bowel loops reaching just below the abdominal wall, deeming paracentesis unsafe to perform on either side [Figure 4].
case_images: PMC9030354_03
case_images: Patient 3: Ascites of unknown origin - abdominal photograph: Severely distended abdomen
case_images: JMU-30-50-g005.jpg
case_images: PMC9030354_03_JMU-30-50-g005.jpg
case_images: F5
case_images: She presented with marked abdominal distension as shown in Figure 5.
case_images: Patient 3: Ultrasound findings - one large distended bowel loop, likely adhering to the abdominal wall in the left flank - unsafe for paracentesis on the left side
case_images: JMU-30-50-g006.jpg
case_images: PMC9030354_03_JMU-30-50-g006.jpg
case_images: F6
case_images: Ultrasound detected one large distended bowel loop, likely adhering to the abdominal wall in the left flank, because it did not move away from the abdominal wall with change of the patient's position [Figure 6].
case_images: PMC9030354_04
case_images: Patient 4: Ultrasound findings only (no patient photograph) - multiple distended bowel loops reaching below abdominal wall, no ascites - suspicion of bowel obstruction - paracentesis contraindicated
case_images: JMU-30-50-g007.jpg
case_images: PMC9030354_04_JMU-30-50-g007.jpg
case_images: F7