1Maria Rauf,1Atif Iqbal Rana, 1Atif Iqbal Rana, 1Haider Ali, 1Jamshaid Anwar

1Shifa international hospital

Objective(s):

Malignant ascites (MA) refers to accumulation of fluid in peritoneal cavity and effects quality of life negatively. Efficacy and safety of only certain types of tunneled peritoneal catheters is documented in literature. However due to the extent of peritoneal disease and adhesions of the bowel to the anterior abdominal wall, placement of a conventional tunnelled ascitic drainage catheter is not always possible.

Material(s) and Method(s):

We offered an alternative approach for palliation of malignant ascites using a tunneled HemoSplit catheter. After obtaining the informed consent from the patient, catheterization was performed in our interventional radiology suite under sonographic and fluoroscopic guidance. The entire procedure was performed using only local anaesthesia as a day case procedure.

Result(s):

The catheter was placed in the most dependent part of the pelvic cavity via an approach from the left flank. Catheter infection a significant complication related to all types of non-tunneled drainage catheters was thus minimized. The catheter tip of the Hemosplit catheter was preferred over other tunneled dialysis catheters available in the market. Potential future blockage of the catheter can also be addressed by regular daily flushing of both lumens with normal saline and the use of a hydrophilic guidewire could be contemplated should the need arise.

Conclusion(s):

Tunneled Hemosplit catheter can be used safely for palliation of malignant ascites.