A case of refractory ascites

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 parac...

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Main Authors: Loris Varvello, Celeste Arnò, Angelo Bosio, Flavio Cerrato, Gabriele Monaco, Claudio Pascale
Format: Article
Language:English
Published: SEEd 2015-10-01
Series:Clinical Management Issues
Subjects:
Online Access:https://journals.seedmedicalpublishers.com/index.php/cmi/article/view/1151
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author Loris Varvello
Celeste Arnò
Angelo Bosio
Flavio Cerrato
Gabriele Monaco
Claudio Pascale
author_facet Loris Varvello
Celeste Arnò
Angelo Bosio
Flavio Cerrato
Gabriele Monaco
Claudio Pascale
author_sort Loris Varvello
collection DOAJ
description 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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spelling doaj.art-99e04f21f8ee4b8683431ce05bd9e02f2022-12-22T01:15:20ZengSEEdClinical Management Issues1973-48322283-31372015-10-0143S313510.7175/cmi.v4i3S.11511082A case of refractory ascitesLoris Varvello0Celeste Arnò1Angelo Bosio2Flavio Cerrato3Gabriele Monaco4Claudio Pascale5SC Medicina Interna. Presidio Ospedaliero Cottolengo. TorinoSC Medicina Interna. Presidio Ospedaliero Cottolengo. TorinoSC Medicina Interna. Presidio Ospedaliero Cottolengo. TorinoSC Medicina Interna. Presidio Ospedaliero Cottolengo. TorinoSC Medicina Interna. Presidio Ospedaliero Cottolengo. TorinoSC Medicina Interna. Presidio Ospedaliero Cottolengo. TorinoWe 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.https://journals.seedmedicalpublishers.com/index.php/cmi/article/view/1151Hepatic cirrhosisRefractory ascitesHepatorenal syndromeParacentesisAlbumin
spellingShingle Loris Varvello
Celeste Arnò
Angelo Bosio
Flavio Cerrato
Gabriele Monaco
Claudio Pascale
A case of refractory ascites
Clinical Management Issues
Hepatic cirrhosis
Refractory ascites
Hepatorenal syndrome
Paracentesis
Albumin
title A case of refractory ascites
title_full A case of refractory ascites
title_fullStr A case of refractory ascites
title_full_unstemmed A case of refractory ascites
title_short A case of refractory ascites
title_sort case of refractory ascites
topic Hepatic cirrhosis
Refractory ascites
Hepatorenal syndrome
Paracentesis
Albumin
url https://journals.seedmedicalpublishers.com/index.php/cmi/article/view/1151
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