TY  - JOUR
T1  - SPontaneous abdominal paracentesis
AU  - Lerner S, Rost MS
Y1  - 1959/07/11
N1  - 10.1001/jama.1959.63010110004011b
JO  - Journal of the American Medical Association
SP  - 1310
EP  - 1311
VL  - 170
IS  - 11
N2  - Abdominal hernia developing as a complication of cirrhosis of the liver with ascites is a welldocumented entity.1 We recently encountered a patient with such a complication, who spontaneously perforated an umbilical hernia, resulting in a natural paracentesis. To the best of our knowledge this phenomenon has not previously been reported.Report of a Case 
    The first Meadowbrook Hospital admission of this 47-year-old man, in January, 1956, was because of the development of ascites. He had a history of "moderate" alcoholic intake for many years. Pertinent physical findings at that time were a loss of chest hair, hemangiomas over the neck and scapulae areas, and extensive psoriasis. His abdomen was distended with fluid, and the liver edge was felt 3 in. below the right costal margin. The spleen was not felt. Studies of liver function revealed an indirect bilirubin level of 5.0 mg.%, cephalin flocculation 4+, alkaline phosphatase level 21
SN  - 0002-9955
M3  - doi: 10.1001/jama.1959.63010110004011b
UR  - http://dx.doi.org/10.1001/jama.1959.63010110004011b
ER  -