title: Relieving the burden: palliative centesis of an oedematous scrotal wall due to anasarca in end-stage heart failure.
abstract: 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.
authors.affiliation: Sabar Clinics and Home Hospice, Tel Aviv, Israel.
authors.forename: Ron
authors.initials: R
authors.lastname: Sabar
authors.forename: Wajdi
authors.initials: W
authors.lastname: Safadi
mesh_terms: D000369:Aged, 80 and over; D004487:Edema / Q000209:etiology / Q000628:therapy*; D005832:Genital Diseases, Male / Q000209:etiology / Q000628:therapy*; D006333:Heart Failure / Q000150:complications; D006801:Humans; D008297:Male; D010166:Palliative Care / Q000379:methods*; D019152:Paracentesis / Q000379:methods*; D012611:Scrotum