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. 2021 Jul;9(14):1199. doi: 10.21037/atm-20-4332

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2021 Annals of Translational Medicine. All rights reserved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0.

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A 52-year-old female with cirrhosis secondary to alcohol use. Following a therapeutic paracentesis without ultrasound for recurrent ascites the patient complained of pain and swelling at the paracentesis site. (A) Coronal CT of the abdomen demonstrated a large rectus sheath hematoma (white arrow), with a focus of active extravasation (blue arrow). (B) Selective angiography with contrast extravasation from the left inferior epigastric artery (white arrow). This was treated with coil embolization (not shown) and the patient’s hematoma resolved.