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Large-volume paracentesis carries roughly a 1% threat of total problems. Hemorrhagic problems tend to be categorized as stomach wall hematomas, pseudoaneurysms, and hemoperitoneum. Extreme hemorrhage is rare ( less then 0.2%), with death following this complication seen in less then 0.02% of situations. We present a fatal instance of an ultrasound-guided paracentesis resulting in subsequent hemoperitoneum from an aberrant intercostal artery, causing hemorrhagic surprise a

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