Fulminant hepatic failure with intractable ascites due to an echovirus 11 infection successfully managed with a peritoneo-venous (LeVeen) shunt.
A case is described of an infant who at 5 days of age developed an echovirus 11 infection with hepatic failure and intractable ascites, refractory to medical treatment. The ascites was successfully controlled with a peritoneo-venous (Le Veen) shunt inserted at 6 weeks of age. The shunt was subsequently removed when the infant was 4 months of age with no recurrence of ascites. At long-term follow-up he is growing and developing normally. This case shows that an adult Le Veen shunt can be successfully modified for use in the newborn with worthwhile long-term survival.
D001201:Ascites / Q000209:etiology / Q000601:surgery*; D004457:Echovirus Infections / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D008107:Liver Diseases / Q000209:etiology / Q000601:surgery*; D008297:Male; D010536:Peritoneovenous Shunt