Relieving the burden: palliative centesis of an oedematous scrotal wall due to anasarca in end-stage heart failure.

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.