Peritoneal dialysis in an end-stage renal disease patient with massive ascites and primary liver cancer

Abstract

End-stage renal disease (ESRD) coexisted with cirrhosis, ascites, and primary liver cancer represents an extraordinarily rare clinical condition that typically occurs in very late-stage decompensated cirrhosis and is associated with an extremely poor prognosis. We present a case of a 68-year-old male patient with ESRD who experienced various decompensated complications of liver cirrhosis, particularly massive ascites and hepatic space-occupying lesions. Peritoneal dialysis (PD) catheter insertion and continuous ambulatory peritoneal dialysis (CAPD) treatment were successfully performed. During meticulous follow-up, the patient survived for one year but ultimately succumbed to complications related to liver cancer. PD can serve as an efficacious therapeutic approach for such late-stage patients afflicted together with severe cirrhosis, massive ascites and primary liver cancer.

Keywords:

• Liver cirrhosis
• ascites
• primary liver cancer
• end-stage renal disease
• peritoneal dialysis

Acknowledgments

The authors thank our patient for allowing for his case to be presented.

Disclosure statement

No potential conflict of interest was reported by the authors.

Ethical approval

This study was approved by the Institutional Review Board of Union Hospital, Tongji Medical College, Huazhong University of Science and Technology.

Additional information

Funding

This work was supported by grants 30900682 and 81974102 from the National Natural Science Foundation of China.