Ascites after pleuroperitoneal shunting.
If conventional therapy fails in patients with intractable malignant pleural effusion, the pleuroperitoneal shunt is a valuable alternative. In a 59-year-old man with disabling malignant pleural effusion, massive ascites developed shortly after insertion of a pleuroperitoneal shunt. This shunt was replaced by a pleurovenous shunt. The ascites disappeared, and pleural effusion did not recur. The patient died 6 months later.
Roukema
J A
JA
Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands.
Lobach
H J
HJ
van der Werken
C
C
D001201:Ascites / Q000209:etiology*; D004322:Drainage / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D008875:Middle Aged; D009382:Neoplasms, Unknown Primary; D010529:Peritoneal Cavity; D010996:Pleural Effusion / Q000601:surgery*; D012086:Reoperation