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.
See
W A
WA
Department of Urology, University of Iowa, Iowa City 52242-1089, USA.
Kresowik
T F
TF
Jochimsen
P R
PR
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