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We describe the successful use of combined ascitic-fluid and furosemide infusion as a therapeutic option in the management of massive diuretic-resistant ascites and severe oliguria of hepatic cirrhosis in a 30-year-old Nigerian male farmer. It is simple, safe, convenient and effective treatment modality. The mechanics of this procedure seen against the backgroup of the pathogenesis of sodium retention and renal dysfunction in hepatic cirrhosis is discussed.
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