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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Format: | Article |
Language: | English |
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SEEd
2015-10-01
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Series: | Clinical Management Issues |
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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. |
first_indexed | 2024-12-11T07:50:43Z |
format | Article |
id | doaj.art-99e04f21f8ee4b8683431ce05bd9e02f |
institution | Directory Open Access Journal |
issn | 1973-4832 2283-3137 |
language | English |
last_indexed | 2024-12-11T07:50:43Z |
publishDate | 2015-10-01 |
publisher | SEEd |
record_format | Article |
series | Clinical Management Issues |
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 |
work_keys_str_mv | AT lorisvarvello acaseofrefractoryascites AT celestearno acaseofrefractoryascites AT angelobosio acaseofrefractoryascites AT flaviocerrato acaseofrefractoryascites AT gabrielemonaco acaseofrefractoryascites AT claudiopascale acaseofrefractoryascites AT lorisvarvello caseofrefractoryascites AT celestearno caseofrefractoryascites AT angelobosio caseofrefractoryascites AT flaviocerrato caseofrefractoryascites AT gabrielemonaco caseofrefractoryascites AT claudiopascale caseofrefractoryascites |