TY - JOUR T1 - GIST-related malignant ascites with large-volume paracentesis complicated by myocardial infarction and tumour rupture JF - BMJ Supportive & Palliative Care JO - BMJ Support Palliat Care DO - 10.1136/bmjspcare-2020-002506 SP - bmjspcare-2020-002506 AU - Sade Hacking AU - Karl Jackson AU - Robert Johnston AU - Eleanor Grogan AU - Rowan Walmsley AU - Leonie Armstrong AU - Joanna Coleman AU - Jennifer Grieve AU - Sarah Robinson AU - Katherine Frew AU - Avinash Aujayeb Y1 - 2020/08/13 UR - http://spcare.bmj.com/content/early/2020/08/12/bmjspcare-2020-002506.abstract N2 - This paper describes a patient with an inoperable gastrointestinal stromal tumour with moderate volume malignant ascites. A large-volume paracentesis caused haemodynamic instability and a myocardial infarction. An indwelling right-sided peritoneal catheter was inserted following further ascites build-up. The patient experienced spontaneous acute rupture of tumour and subsequent loculated ascites. An additional second catheter was inserted to the left side of the abdomen following reaccumulation of ascites following liquefaction of cyst contents and successful one-off drainage on the left side of abdomen. This is the first case report of a patient with two indwelling catheters: we describe learning points pertaining to those as well as the rupture of gastrointestinal stromal tumours. Haemodynamic instability after paracentesis in malignant-related ascites has also not been described ER -