Which symptom is associated with bladder perforation during a paracentesis?

Bladder perforation during a paracentesis can lead to hematuria, which is the presence of blood in the urine. This symptom arises because the bladder is located in close proximity to the peritoneal cavity, and if it is inadvertently punctured during the procedure, urine can leak into the surrounding space. This leakage can cause irritation and inflammation, resulting in the blood being present in the urine as the body reacts to the trauma.

The other symptoms mentioned do not directly relate to bladder perforation. Fever may indicate infection or an inflammatory response, but it is not a specific result of bladder injury. Diarrhea is typically associated with gastrointestinal issues, and abdominal cramping can stem from various causes but does not specifically indicate bladder perforation. Thus, hematuria is the most directly connected symptom to this complication during a paracentesis.