International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Open Access | Fully Refereed | Peer Reviewed

ISSN: 2319-7064


Downloads: 50 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1

Case Studies | Medical Science | Indonesia | Volume 10 Issue 1, January 2021


Large-Volume Paracentesis Treatment for Refractory Ascites Due to Lack of Response with Maximum Dosses of Diuretics: A Case Report

Gede Abi Yoga Pramana, I Putu Ramanda Suadnyana, I Wayan Sunaka


Abstract: Introduction: Refractory ascites (RA) refers to ascites that cannot be mobilized or that has an early recurrence that cannot be prevented by medical therapy. [1] We present a case report of 60 years old male diagnosed with liver cirrhosis with refractory ascites treated by Large-Volume Paracentesis (LVP) due to lack of response with maximum dosses of diuretics. Case Report: A 60-years old man has been diagnosed with cirrhosis hepatic from 8 months ago. He has been hospitalized 2 times in the last 2 months with complaint of discomfort of the stomach and hard to breath. Physical examination revealed a blood pressure 110/70 mmHg, pulse of 100x/minute, respiratory rate of 26 times per minutes, body temperature of 36.5oC. Abdominal examination revealed distended and tense abdomen with positive undulation and shifting dullness which consistent with massive ascites. Total serum protein was 6.5g/dL, with albumin levels of 2.3g/dL, globulin level 4.2 g/dL. Because lack of response despite maximum dosses of diuretics therapy, we decided to performed Large-Volume Paracentesis on the 9 th day of hospitalization, and about 5, 000 mL of yellowish fluid was evacuated. Summary: In this case report, we presented a patient who had refractory ascites with underlying disease liver cirrhosis. We perform Large-Volume Paracentesis (LVP) in this patient to reduce volume of ascites due to lack of response with maximum dosses of diuretics. Removing a large amount of ascites in a short period may induce circulatory dysfunction, a condition known as Paracentesis-induced Circulatory Dysfunction (PICD). Hence, administration of albumin during LVP significantly reduces the incidence of PICD.


Keywords: Large Volume Paracentesis LVP, Refractory ascites, Liver cirrhosis


Edition: Volume 10 Issue 1, January 2021,


Pages: 1467 - 1468


How to Cite this Article?

Gede Abi Yoga Pramana, I Putu Ramanda Suadnyana, I Wayan Sunaka, "Large-Volume Paracentesis Treatment for Refractory Ascites Due to Lack of Response with Maximum Dosses of Diuretics: A Case Report", International Journal of Science and Research (IJSR), https://www.ijsr.net/get_abstract.php?paper_id=SR21126172628, Volume 10 Issue 1, January 2021, 1467 - 1468

How to Share this Article?

Enter Your Email Address


Similar Articles with Keyword 'Refractory ascites'

Downloads: 101

Review Papers, Medical Science, Indonesia, Volume 9 Issue 9, September 2020

Pages: 288 - 290

The Use of Plasma Expanders in Preventing Paracentesis-Induced Circulatory Dysfunction: A Brief Review

Lindia Prabhaswari, I Putu Ardinata, Agung Adi Nugroho

Share this Article

Downloads: 107

Research Paper, Medical Science, Indonesia, Volume 9 Issue 10, October 2020

Pages: 1025 - 1027

Refractory Ascites in Patient with Liver Cirrhosis: A Case Report

Lindia Prabhaswari, I Gede Sadu Pratama Werdi, Lisa Anggriani Susanto, I Wayan Sunaka

Share this Article

Similar Articles with Keyword 'Liver cirrhosis'

Downloads: 49

Case Studies, Medical Science, Indonesia, Volume 10 Issue 1, January 2021

Pages: 883 - 884

Diagnostic and Management of Chronic Liver Disease: A Case Report and Review of Literature

I Gst Ag Bgs Arya Wiradarma, A.A. Gede Oka Suta Wicaksana, Made Wirama Diyana

Share this Article

Downloads: 101

Review Papers, Medical Science, Indonesia, Volume 9 Issue 9, September 2020

Pages: 288 - 290

The Use of Plasma Expanders in Preventing Paracentesis-Induced Circulatory Dysfunction: A Brief Review

Lindia Prabhaswari, I Putu Ardinata, Agung Adi Nugroho

Share this Article

Similar Articles with Keyword 'Large'

Downloads: 1

Student Project, Medical Science, India, Volume 10 Issue 5, May 2021

Pages: 1151 - 1157

Clinicopathological Analysis of Breast Lump in Women above Forty Years: Tertiary Hospital, Northern Kerala, India

Raju

Share this Article

Downloads: 1

Informative Article, Medical Science, India, Volume 10 Issue 7, July 2021

Pages: 131 - 132

Use of Ayurvedic Treatment in Shayyamutrata: Literature Review

Dr. Vishnu G. Sonune

Share this Article

Similar Articles with Keyword 'Volume'

Downloads: 81

Review Papers, Medical Science, Saudi Arabia, Volume 9 Issue 9, September 2020

Pages: 783 - 797

Bronchiectasis, Causes, Pathogenesis,Clinical Manifestations and Update Management

Liaqat Ali Chaudhry, Aftab Ahmed, Hamed Sobhy Al-Balawi

Share this Article

Downloads: 85

Case Studies, Medical Science, India, Volume 9 Issue 9, September 2020

Pages: 1210 - 1213

Effectiveness of Treatment of Orbital Floor Blowout Fractures with Autologus Iliac Crest Graft: A Report on 14 Cases

Sunil Shrivastava, Rohit Kumar Rai, Sharad Kumar, Abhishek Katara

Share this Article

Similar Articles with Keyword 'Paracentesis'

Downloads: 101

Review Papers, Medical Science, Indonesia, Volume 9 Issue 9, September 2020

Pages: 288 - 290

The Use of Plasma Expanders in Preventing Paracentesis-Induced Circulatory Dysfunction: A Brief Review

Lindia Prabhaswari, I Putu Ardinata, Agung Adi Nugroho

Share this Article

Downloads: 107

Research Paper, Medical Science, Indonesia, Volume 9 Issue 10, October 2020

Pages: 1025 - 1027

Refractory Ascites in Patient with Liver Cirrhosis: A Case Report

Lindia Prabhaswari, I Gede Sadu Pratama Werdi, Lisa Anggriani Susanto, I Wayan Sunaka

Share this Article

Similar Articles with Keyword 'LVP'

Downloads: 101

Review Papers, Medical Science, Indonesia, Volume 9 Issue 9, September 2020

Pages: 288 - 290

The Use of Plasma Expanders in Preventing Paracentesis-Induced Circulatory Dysfunction: A Brief Review

Lindia Prabhaswari, I Putu Ardinata, Agung Adi Nugroho

Share this Article

Downloads: 107

Research Paper, Medical Science, Indonesia, Volume 9 Issue 10, October 2020

Pages: 1025 - 1027

Refractory Ascites in Patient with Liver Cirrhosis: A Case Report

Lindia Prabhaswari, I Gede Sadu Pratama Werdi, Lisa Anggriani Susanto, I Wayan Sunaka

Share this Article

Similar Articles with Keyword 'Refractory'

Downloads: 0

Research Paper, Medical Science, India, Volume 10 Issue 6, June 2021

Pages: 563 - 564

Liddle it's A Riddle

Dr Ashish Nair

Share this Article

Downloads: 1 | Monthly Hits: ⮙1

Research Paper, Medical Science, India, Volume 10 Issue 5, May 2021

Pages: 1052 - 1055

RITUXIMAB in Lupus Related Autoimmune Haemolytic Anemia

Mohnish Patel, Prashant Chotalia, Puja Srivastava, Sapan C Pandya

Share this Article

Similar Articles with Keyword 'ascites'

Downloads: 101

Review Papers, Medical Science, Indonesia, Volume 9 Issue 9, September 2020

Pages: 288 - 290

The Use of Plasma Expanders in Preventing Paracentesis-Induced Circulatory Dysfunction: A Brief Review

Lindia Prabhaswari, I Putu Ardinata, Agung Adi Nugroho

Share this Article

Downloads: 101

Research Paper, Medical Science, Indonesia, Volume 9 Issue 9, September 2020

Pages: 1053 - 1056

Hepatic Hydrothorax: A Concise Review of Literature

I Putu Ardinata, Agung Adi Nugroho, I Putu Dhidhi Pradnya Suryadiarsa

Share this Article

Similar Articles with Keyword 'Liver'

Downloads: 0

Case Studies, Medical Science, India, Volume 10 Issue 11, November 2021

Pages: 609 - 611

A Study on Neonatal Outcome in Pregnancies with Oligohydramnios

Dr. Chennayegunta Jeswanth

Share this Article

Downloads: 1

Case Studies, Medical Science, Indonesia, Volume 10 Issue 7, July 2021

Pages: 1175 - 1177

Direct Hyperbilirubinemia in Non-Obstructive Elderly Jaundice Patient - A Case Report

Diah Pradnya Paramita, Ketut Suryana

Share this Article

Similar Articles with Keyword 'cirrhosis'

Downloads: 49

Case Studies, Medical Science, Indonesia, Volume 10 Issue 1, January 2021

Pages: 883 - 884

Diagnostic and Management of Chronic Liver Disease: A Case Report and Review of Literature

I Gst Ag Bgs Arya Wiradarma, A.A. Gede Oka Suta Wicaksana, Made Wirama Diyana

Share this Article

Downloads: 86

Case Studies, Medical Science, Indonesia, Volume 9 Issue 12, December 2020

Pages: 1356 - 1359

Diagnostic Challenges Hepatocellular Carcinoma: Case Report and Review of the Literature

A. A. Gede Oka Suta Wicaksana, I Gst Ag Bgs Arya Wiradarma, I Wayan Sunaka

Share this Article
Top