case_images: PMC10721288_01
case_images: 23-year-old man with metastatic cancer of unknown origin complicated by ascites. A) Pre-procedure POCUS exam demonstrating a large pocket of ascites in the right lower quadrant of the patient described in Case 1. [Asterisk = liver] B) Intraprocedural POCUS demonstrating paracentesis catheter attached to omentum/bowel. Note that the ultrasound probe was inadvertently flipped in this image. [Arrow = catheter; asterisk = liver]
case_images: pocusj-08-16265-g001.jpg
case_images: PMC10721288_01_pocusj-08-16265-g001.jpg
case_images: figure-77617d10ffd54ad4b6ef5fadd2a7dbb1
case_images: POCUS was used to identify a safe pocket in the right lower quadrant, approximately 10 cm in depth (Figure 1a). At this juncture, POCUS was employed under sterile conditions and demonstrated persistent ascites and attachment of bowel to the paracentesis catheter (Figure 1b).
case_images: PMC10721288_02
case_images: 68-year-old woman with decompensated alcoholic cirrhosis. A) Pre-procedural POCUS exam demonstrating large volume ascites in the left lower quadrant of the patient described in Case 2. B) Intraprocedural POCUS exam demonstrating attachment of omentum/bowel to the paracentesis catheter. [Arrow = catheter]
case_images: pocusj-08-16265-g002.jpg
case_images: PMC10721288_02_pocusj-08-16265-g002.jpg
case_images: figure-e3b990f7fcdb40538ec83c05882aae72
case_images: Following standard protocol, ultrasound-assisted paracentesis was performed in the left lower quadrant after identifying free-flowing ascites approximately 10 cm in depth (Figure 2a). POCUS performed with sterile technique demonstrated attachment of bowel with retraction of the catheter (Figure 2b; Supplemental Video S1).