title: Peritoneovenous shunting for intractable chylous ascites complicated with lymphangioleiomyomatosis.
abstract: A 38-year-old woman was admitted due to lymphangioleiomyomatosis (LAM)-associated massive chylous ascites and progressive cachexia. She was incidentally diagnosed to have ascites during her regular physical check-up two years previously and LAM was revealed as its underlying cause. Periodic paracentesis was required to ameliorate ascites-associated symptoms, but resulted in lymphocytopenia, malnutrition, and deterioration of general status. Ascites was refractory to diuretics and fat-restricted diet. Peritoneovenous shunt (Denver shunt) was placed and thereafter ascites has been managed successfully without any complications for one year after the placement. Peritoneovenous shunt should be considered in LAM patients whose chylous ascites can not be managed with conservative treatments.
authors.affiliation: Department of Respiratory Medicine, Juntendo University, School of Medicine, Tokyo, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Makino
authors.forename: Yuri
authors.initials: Y
authors.lastname: Shimanuki
authors.forename: Noriko
authors.initials: N
authors.lastname: Fujiwara
authors.forename: Yoshiteru
authors.initials: Y
authors.lastname: Morio
authors.forename: Koichi
authors.initials: K
authors.lastname: Sato
authors.forename: Jiro
authors.initials: J
authors.lastname: Yoshimoto
authors.forename: Yoko
authors.initials: Y
authors.lastname: Gunji
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Suzuki
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Sasaki
authors.forename: Akihiko
authors.initials: A
authors.lastname: Iwase
authors.forename: Seiji
authors.initials: S
authors.lastname: Kawasaki
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Takahashi
authors.forename: Kuniaki
authors.initials: K
authors.lastname: Seyama
mesh_terms: D000328:Adult; D002915:Chylous Ascites / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D018192:Lymphangioleiomyomatosis / Q000209:etiology / Q000601:surgery*; D010536:Peritoneovenous Shunt