Recurrent malignant ascites is a common management problem in oncology and palliative care.
Discussion:
Here, we describe a case of malignant ascites managed by insertion of a Tenckhoff Catheter (TC), which resulted in successful symptomatic control and improvement in quality of life.
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References
1.
KeenA, FitzgeraldD, BryantA, DickinsonHO. Management of drainage for malignant ascites in gynaecological cancer. Cochrane Database Syst Rev, 2010; Jan20,1:CD007794.
2.
EassonA, BezjakA, RossAet al. Changes in symptoms after paracentesis for symptomatic malignant ascites. J Clin Oncol, 2005; 16,suppl:6071.
3.
SmithEM, JaysonGC. The current and future management of malignant ascites. Clin Oncol (R Coll Radiol), 2003; 15:59–72.
4.
RossGJ, KesslerHB, ClairMR, GatenbyRA, HartzWH, RossLV. Sonographically guided paracentesis for palliation of symptomatic ascites. AJR Am J Roentgenol, 1989; 153:1309–1311.
5.
MackeyJR, VennerPM. Malignant ascites: Demographics, therapeutic efficacy and predictors of survival. Can J Oncol, 1996; 6:474–480.
6.
PockrosPJ, EsrasonKT, NguyenC, DuqueJ, WoodS. Mobilisation of malignant ascites with diuretics is dependent on ascitic fluid characteristics Gastroenterology. 1992; 103:1302–1306.
7.
LorentzenT, SengelovL, NolsoeCP, KhattarSC, KarstrupS, Von Der Maase. Ultrasonographically guided insertion of a peritoneo-gastric shunt in patients' with malignant ascites. Acta Radiol, 1995; 36:481–484.
8.
RozenblitGN, Del GuercioLRM, RundbackJH, PoplauskyMR, LebovicsE. Peritoneal-urinary drainage for treatment of refractory ascites: A pilot study. J Vasc Interv Radiol, 1998; 9:998–1005.
9.
MamadaY, YoshidaH, TaniaiN, BandouK, ShimizuT, KakinumaD, MizuguchiY, IshikawaY, AkimaruK, TajiriT. Peritoneovenous shunts for palliation of malignant ascites. J Nippon Med Sch, 2007; 74:355–358.
10.
ZanonC, GrossoM, ApraF, ClaraR, BortoliniM, QuaglinoF, CornagliaS, SimoneP. Palliative treatment of malignant refractory ascites by positioning of Denver perioneovenous shunt. Tumori, 2002; 88:123–127.
11.
WickremesekeraSK, StubbsRS. Peritoneovenous shunting for malignant ascites. N Z Med J, 1997; 110:33–35.
12.
FaughtW, KirkpatrickJR, KrepartGV, HeywoodMS, LotockRJ. Peritoneovenous shunt for palliation of gynaecologic malignant ascites. J Am Coll Surg, 1995; 180:472–474.
13.
SchumacherDL, SaclaridesTJ, StarenED. Perioneovenous shunts for palliation of the patient with malignant ascites. Ann Surg Oncol, 1994; 1:378–381.
14.
GoughIR, BaldersonGA. Malignant ascites. A comparison of peritoneovenous shunting and non-operative management. Cancer, 1993; 71:2377–2382.
15.
RosenbergS, CourtneyA, NemcekAAJr, OmaryRA. Comparison of percutaneous management techniques for recurrent malignant ascites. J Vasc Interv Radiol, 2004; 15:1129–1131.
16.
RichardHM3rd, ColdwellDM, Boyd-KranisRL, MurthyR, Van ExhoDA. Pleurx tunneled catheter in the management of malignant ascites. J Vasc Interv Radiol, 2001; 12:373–375.
17.
OzkanO, AkinciD, GocmenR, CilB, OzmenM, AkhanO. Percuatneous placement of peritoneal port-catheter in patients with malignant ascites. Cardiovasc Intervent Radiol, 2007; 30:232–236.
18.
MercadanteS, IntravaiaG, FerreraP, VillariP, FabrizioDF. Peritoneal catheter for continuous drainage of ascites in advanced cancer patients. Support Care Cancer, 2008; 16:975–978.
19.
O'NeillMJ, WeisslederR, GervaisDA, HahnPF, MuellerPR. Tunneled Peritoneal catheter placement under sonographic and fluoroscopic guidance in the palliative treatment of malignant ascites. AJR Am J Roentgenol, 2001; 177:615–618.
20.
LomasDA, WallisPJW, StockleyRA. Palliation of malignant acites with a Tenckhoff catheter. Thorax, 1989; 44:828
21.
BuiCD, MartinCJ, CurrowDC. Case report: Effective community palliation of intractable malignant ascites with a permanently implanted abdominal drain. J Palliat Med, 1999; 2:319–321
22.
BarnettTD, RubinsJ. Placement of a permanent tunnelled peritoneal drainage catheter for palliation of malignant ascites: A simplified percutaneous approach. J Vasc Interv Radiol, 2002; 13:379–383.