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Peritoneal ascites leak

Date: Jan 11, 2024

Question:

What should be coded for the following?

A four-quadrant sector transducer scan reveals that there is only some a small amount of ascites fluid in the right perihepatic space, no fluid seen in the left upper and left lower quadrants of the abdomen and also in the right lower quadrant and hypogastric region respectively. Therefore we elected not to perform a repeat paracentesis at this time. Instead we elected to perform closure of the prior peritoneal cavity tract which had resulted from the prior ultrasound guided paracentesis performed a few days ago. Therefore we embarked on performing a circ lage suture to pucker the tract followed by skin to skin apposition with adhesive skin glue. Using sterile technique and 1% local regional anesthesia with buffered lidocaine for total of 10 cc. This resulted in complete cessation of fluid coming out. We then performed a dry dressing.

Impression :successful management of a peritoneal ascites leak coming from the prior site of peritoneal fluid drainage

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