Abdominal tap
Alternative Names: Peritoneal tap; Paracentesis
An abdominal tap is a procedure used to remove fluid from the area between the belly wall and the spine. This space is called the abdominal cavity.
Why is the Test Performed?
Normally, the abdomin cavity contains only a small amount of fluid. In certain conditions, large amounts of fluid can build up in this space.
An abdominal tap can help diagnose the cause of fluid buildup. It may also be done to diagnose infected abdominal fluid, or to remove a large amount of fluid to reduce belly pain.
How is the Test Performed?
This test may be done in an office setting, treatment room, or hospital.
The puncture site will be cleaned and shaved, if necessary. You then receive a local numbing medicine. The tap needle is inserted 1 - 2 inches into the abdomen. Sometimes a small cut is made to help insert the needle. The fluid is pulled out into a syringe.
The needle is removed. A dressing is placed on the puncture site. If a cut was made, one or two stitches may be used to close it.
There are two kinds of abdominal taps:
- Diagnostic tap -- a small amount of fluid is taken and sent to the laboratory for testing
- Large volume tap -- several liters may be removed to relieve abdominal pain and fluid buildup
Preparation for the Test
Let your health care provider know if you:
- Have any allergies to medications or numbing medicine
- Are taking any medications (including herbal remedies)
- Have any bleeding problems
- Might be pregnant
How will the Test Feel?
You may feel a stinging sensation from the numbing medicine, or pressure as the needle is inserted.
If a large amount of fluid is taken out, you may feel dizzy or light-headed. Tell the health care provider if you feel dizzy.
Abdominal tap Risks
There is a slight chance of the needle puncturing the bowel, bladder, or a blood vessel in the abdomen. If a large quantity of fluid is removed, there is a slight risk of lowered blood pressure and kidney failure. There is also a slight chance of infection.
Normal Results for Abdominal tap
Normally, there should be little or no fluid in the the abdominal space.
What Abnormal Results Mean
An examination of abdominal fluid may show:
- Cirrhosis of the liver
- Damaged bowel
- Heart disease
- Infection
- Kidney disease
- Pancreatic disease
- Tumor (cancerous or noncancerous)
Related Images
Learn more about Abdominal tap
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Copyright 2011 A.D.A.M., Inc.
