JOSEPH C. O'LAUGHLIN, D.O.; JAMES W. HOFTIEZER, M.D.; DONALD C. GERHARDT, M.D.
To the editor: The LeVeen shunt has proved to be a significant adjuvant for managing refractory ascites. A number of complications have been reported, however, including pulmonary edema (1), overt and subclinical disseminated intravascular coagulation (2), subcutaneous and gastrointestinal bleeding (3, 4), recurrent laryngeal nerve damage, pneumothorax, and shunt clotting (4), external leakage of ascitic fluid, sepsis, and noninfectious fevers (4, 5). We recently observed an instance of saclike dilatations along a catheter tract, a complication not previously reported, to our knowledge, the appearance of which may reflect loss of shunt patency.
A 56-year-old white woman was admitted to the
O'LAUGHLIN JC, HOFTIEZER JW, GERHARDT DC. Saccular Dilatations in the LeVeen Shunt. Ann Intern Med. ;91:928–929. doi: 10.7326/0003-4819-91-6-928_2
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Published: Ann Intern Med. 1979;91(6):928-929.
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