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Relieving the burden: palliative centesis of an oedematous scrotal wall due to anasarca in end-stage heart failure
  1. Ron Sabar1,
  2. Wajdi Safadi2,3
  1. 1Sabar Clinics and Home Hospice, Tel Aviv, Israel
  2. 2Department of Surgery, Ziv Hospital, Galilee, Israel
  3. 3Golan Polyclinic, Golan Heights, Israel
  1. Correspondence to Dr Ron Sabar, ronsabar{at}gmail.com

Summary

End-stage congestive heart failure is a leading diagnosis among hospice patients without cancer. As in terminally ill cancer patients; the aim of the treatment was to focus on palliation and maximum symptom relief. Anasarca, a widespread swelling of the skin because of effusion of fluid into the extracellular space, is a common sign in end-stage heart failure causing much pain and discomfort. We described a simple, safe, bed-side technique to alleviate the discomfort associated with massive scrotal oedema.

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