Infiltrative fibrosis with acute hemorrhagic intestinal infarction: association with a peritoneovenous shunt.
This article describes an unusual complication of acute hemorrhagic infarction of the gastrointestinal tract that developed in a 53-year-old man 3 years after a Denver peritoneovenous shunt was implanted for control of cirrhotic ascites. Infiltrative fibrosis, which involved the bowel and mesentery and surrounded its blood vessels, was the cause of the infarction. A spectrum of this fibroproliferative disease in patients with cirrhosis with ascites and peritoneovenous shunts is described, and possible pathogenetic mechanisms are discussed.
D000208:Acute Disease; D000328:Adult; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007238:Infarction / Q000209:etiology* / Q000473:pathology; D007420:Intestine, Large / Q000098:blood supply* / Q000473:pathology; D007421:Intestine, Small / Q000098:blood supply* / Q000473:pathology; D008297:Male; D010536:Peritoneovenous Shunt / Q000009:adverse effects*