Feasibility of sonographic localization of the inferior epigastric artery before ultrasound-guided paracentesis

We present 5 cases demonstrating the feasibility of identifying the IEA in ED patients with ascites. Why should an emergency physician be aware of this? Sonographic localization of the IEA before ultrasound-guided paracentesis may provide a more reliable means of avoiding iatrogenic injury to this vessel. Further study is warranted to determine whether routine IEA visualization before paracentesis results in a decreased complication rate.