Paracentesis which is used for cirrhotic acid treatment may cause renal dysfunction secondary to circulatory dysfunction when performed with high volume. In our clinic, spontaneous ascites perforation has developed in a patient hospitalized due to massive ascites and hepatorenal syndrome. In the follow-up period, dramatical decline was observed in creatinine values. In conclusion; it should be kept in mind that, a large amount of ascites drainage may be performed without increase in creatinine values during paracentesis taking into account the hemodynamic status of the patient.
Keywords: Cirrhosis, massive ascites, paracentesis, hepatorenal syndrome