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Health Information Center

Abdominal Paracentesis

  • Cynthia M. Johnson, MA
Publication Type:


Abdominal Paracentesis

(Ascites Fluid Tap; Abdominal Tap)


Abdominal paracentesis uses a needle to remove fluid from the belly.

Ascites—Fluid Build up in Belly.

Asciteshttp://services.epnet.com/getimage.aspx?imageiid=80798079si55551253_96472_1_Ascites_clear text.JPGAscitesNULLjpgAscitesNULL\\hgfiler1\intellect\images\si55551253_96472_1_Ascites_clear text.JPGNULL18NULL2010-06-01305400Copyright © Nucleus Medical Media, Inc.

Reasons for Procedure

Ascites is the buildup of fluid in the belly. This procedure may be done to:

  • Take out a sample of fluid for testing to find a cause
  • Drain excess fluid
  • Ease breathing problems
  • Ease pain

This may need to be repeated. Fluid may return if the cause has not been treated.

Possible Complications

Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:

  • Excess bleeding
  • Problems from anesthesia, such as wheezing or sore throat
  • Infection
  • Blood clots
  • Damage to nearby structures

Things that may raise the risk of problems are:

What to Expect

Problems To Look Out For

Call your doctor if you are not getting better or you have:

  • Signs of infection, such as fever or chills
  • Redness, swelling, bleeding, or fluid leaking from the needle site
  • Pain that you cannot control with medicine
  • Coughing
  • Breathing problems
  • Lightheadedness
  • Chest pain

If you think you have an emergency, call for medical help right away.

Prior to Procedure

If the procedure is not being done to provide emergency care, the care team may meet with you to talk about:

  • Anesthesia options
  • Any allergies you may have
  • Current medicines, herbs, and supplements that you take and whether you need to stop taking them before the procedure
  • Fasting before the procedure, such as avoiding food or drink after midnight the night before
  • Whether you need a ride to and from the procedure
  • Tests that will need to be done before surgery, such as imaging tests




  • About your paracentesis (abdominal tap). Memorial Sloan Kettering Cancer Centrer website. Available at: https://www.mskcc.org/cancer-care/patient-education/paracentesis-abdominal-tap.
  • Ascites. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/ascites.
  • Piano, S., Tonon, M., et al. Management of ascites and hepatorenal syndrome. Hepatol Int. 2018; 12 (Suppl 1): 122-134.


  • Marcin Chwistek, MD
Last Updated:

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.