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Case Reports
Peritoneovenous shunt for chylous ascites after lung transplantation for lymphangioleiomyomatosis.
- T Kanou, T Nakagiri, M Minami, M Inoue, Y Shintani, and M Okumura.
- Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
- Transplant. Proc. 2012 Jun 1; 44 (5): 1390-3.
AbstractA 37-year-old woman with lymphangioleiomyomatosis (LAM) who underwent right single-lung transplantation from a cadaveric donor developed persistent chylous ascites. Despite use of diuretics and sirolimus to reduce ascites-associated symptoms and to prevent gastroesophageal reflex triggered by increased abdominal pressure, the ascites were refractory, and periodic paracenteses were required. With placement of a peritoneovenous shunt (Denver shunt), the patient's abdominal circumference decreased, and her symptoms abated. Thus, placement of a peritoneovenous shunt can be an effective management strategy for refractory chylous ascites in patients with LAM, even after lung transplantation.Copyright © 2012 Elsevier Inc. All rights reserved.
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