Document Detail

Fatal pulmonary tumor embolization following peritoneovenous shunting for malignant ascites.
MedLine Citation:
PMID:  6257978     Owner:  NLM     Status:  MEDLINE    
A 44-year-old white male with pseudomyxoma peritonei and intractable malignant ascites is described. This patient underwent three peritoneovenous shunt procedures utilizing first the LeVeen shunt and finally the Denver shunt in a surgical attempt at palliative decompression of his malignant ascites. The peritoneovenous shunts resulted in massive tumor embolization to the pulmonary vasculature, clinically asymptomatic disseminated intravascular coagulation, and partial thrombosis of the superior vena cava. The pulmonary tumor embolization was manifest clinically as moderate pulmonary hypertension with increased pulmonary vascular resistance and persistent hypoxia.
R R Smith; S S Sternberg; M A Paglia; R B Golbey
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of surgical oncology     Volume:  16     ISSN:  0022-4790     ISO Abbreviation:  J Surg Oncol     Publication Date:  1981  
Date Detail:
Created Date:  1981-04-13     Completed Date:  1981-04-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0222643     Medline TA:  J Surg Oncol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  27-35     Citation Subset:  IM    
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MeSH Terms
Adenocarcinoma, Mucinous / pathology,  surgery*
Ascites / surgery*
Disseminated Intravascular Coagulation / etiology
Lung Neoplasms / pathology
Peritoneovenous Shunt / adverse effects*
Pulmonary Embolism / etiology*,  pathology
Vascular Surgical Procedures / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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