Peritoneal venous shunting for the treatment of lymphatic ascites following retroperitoneal lymph node dissection.
We report a case of refractory lymphatic ascites following retroperitoneal lymph node dissection and venacavectomy. Placement of a Denver peritoneal venous shunt resulted in resolution of the ascites and marked improvement in the patient's nutritional parameters. Shunt occlusion 2 months following placement demonstrated no recurrence of the ascites. This technique may prove useful in the management of lymphatic ascites associated with radical retroperitoneal surgery.
Department of Urology, University of Iowa, Iowa City 52242-1089, USA.
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See
T F
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Kresowik
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PR
Jochimsen
D000328:Adult; D001201:Ascites / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects*; D008206:Lymphatic Diseases / Q000209:etiology / Q000601:surgery*; D008297:Male; D010536:Peritoneovenous Shunt