Vol.-17, No.-1

Refractory ascites is an incapacitating condition in\\r\\npatients with chronic liver disease or advanced\\r\\nmalignancy. It may produce symptoms like abdominal\\r\\ndistension, early satiety, respiratory embarrassment,\\r\\nimpaired mobility and lethargy1. Successful relief of\\r\\nthese symptoms is often difficult to obtain.\\r\\nConventional medical therapy has focused on use of\\r\\ndiuretics and therapeutic paracentesis. Despite the\\r\\nuse of these methods some patients progressively\\r\\nbecome resistant to therapy and develop refractory\\r\\nascites. New modalities of treatment such as\\r\\nPeritoneovenous shunt (PVS) or Transjugular\\r\\nintrahepatic portosystemic shunt (TIPS) are applied\\r\\nto these group of patients for their palliation. We\\r\\nreport on the use of PVS in a patient with\\r\\ntroublesome malignant ascites that resulted in\\r\\npalliation of his symptoms. To the best of our\\r\\nknowledge there was no report of such case\\r\\npreviously in our country.\\r\\n