Peritoneo-Vesical Shunt: A Feasible Therapeutic Alternative
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Abstract :
Introduction: Schistosomiasis is a tropical parasitic disease with a very high prevalence worldwide, carrying a considerable risk for serious morbidity and mortality. Hepatic schistosomiasis may lead to chronic ascites due to portal hypertension (Increased hydrostatic pressure due to periportal fibrosis). Presentation of Case: We describe the case of a 67-year-old African female with refractory ascites secondary to hepatic schistosomiasis, causing her respiratory distress. At least mid-term, she was successfully treated with a peritoneo-vesical shunt, allowing the controlled passage of ascitic fluid from the peritoneum into the bladder, enabling her to “urinate” the liquid, releasing the abdominal pressure and improving her respiratory status. She was able to return to her normal activities during months postoperatively. Discussion: Schistosomasis is quite prevalent in tropical endemic areas, leading to serious complications. Patients with hepatic schistosomiasis develop secondary ascites, which is frequently refractory to standard medical treatment......

https://www.omicsgroup.org/journals/peritoneovesical-shunt-2165-7548.1000238.php?aid=40915
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