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Updated: May 12, 2026

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Published on: May 23, 2025
Peritoneal catheter for massive cardiac ascites.
1Department of Internal Medicine, The University of Texas Houston Health Science Center, Houston, Texas, USA. gaisenberg@yahoo.com
Cardiac ascites, a type of fluid buildup, can be challenging to manage. This study shows that using a peritoneal catheter can be an effective strategy for patients with severe cardiac ascites.
Area of Science:
- Cardiology
- Gastroenterology
Background:
- Cardiac ascites accounts for 5% of all ascites cases.
- Diuretics and salt restriction are primary treatments.
- Large-volume paracentesis is used for refractory cases.
Observation:
- The study presents a case of cardiac ascites.
- The patient required frequent large-volume paracentesis.
- Peritoneal catheters are typically used for malignant ascites.
Findings:
- A peritoneal catheter was successfully used to manage cardiac ascites.
- This approach offered a convenient alternative to repeated paracentesis.
- Continuous drainage provided steady relief from fluid accumulation.
Implications:
- Peritoneal catheter use may be a viable option for non-malignant ascites.
- This strategy can improve patient convenience and management.
- Further research could explore catheter use in various ascites origins.
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