A case of refractory ascites

A case of refractory ascites

Authors

  • Loris Varvello SC Medicina Interna. Presidio Ospedaliero Cottolengo. Torino
  • Celeste Arnò SC Medicina Interna. Presidio Ospedaliero Cottolengo. Torino
  • Angelo Bosio SC Medicina Interna. Presidio Ospedaliero Cottolengo. Torino
  • Flavio Cerrato SC Medicina Interna. Presidio Ospedaliero Cottolengo. Torino
  • Gabriele Monaco SC Medicina Interna. Presidio Ospedaliero Cottolengo. Torino
  • Claudio Pascale SC Medicina Interna. Presidio Ospedaliero Cottolengo. Torino

DOI:

https://doi.org/10.7175/cmi.v4i3S.1151

Keywords:

Hepatic cirrhosis, Refractory ascites, Hepatorenal syndrome, Paracentesis, Albumin

Abstract

We describe a case of patient with alcoholic cirrhosis and severe functional hepatic impairment (Child C), developing in the last months renal impairment too and ingravescent, refractory ascites, despite high-dose diuretics. The patient was treated with intravenous albumin and, at last, weekly paracentesis. In this report we evaluate alternative therapeutic options (Transjugular Inrtahepatic Protosystemic Shunt, Orthotopic Liver Transplantation) when frequent paracentesis are needed.

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Published

2015-10-13

Issue

Section

Case report
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