| Peritoneovenous shunting for intractable chylous ascites complicated with lymphangioleiomyomatosis. | |
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MedLine Citation:
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PMID: 18277030 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Yuko Makino; Yuri Shimanuki; Noriko Fujiwara; Yoshiteru Morio; Koichi Sato; Jiro Yoshimoto; Yoko Gunji; Tsutomu Suzuki; Shin-ichi Sasaki; Akihiko Iwase; Seiji Kawasaki; Kazuhisa Takahashi; Kuniaki Seyama |
Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't Date: 2008-02-15 |
Journal Detail:
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Title: Internal medicine (Tokyo, Japan) Volume: 47 ISSN: 1349-7235 ISO Abbreviation: Intern. Med. Publication Date: 2008 |
Date Detail:
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Created Date: 2008-02-15 Completed Date: 2008-04-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9204241 Medline TA: Intern Med Country: Japan |
Other Details:
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Languages: eng Pagination: 281-5 Citation Subset: IM |
Affiliation:
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Department of Respiratory Medicine, Juntendo University, School of Medicine, Tokyo, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Chylous Ascites / complications, surgery* Female Humans Lymphangioleiomyomatosis / etiology, surgery* Peritoneovenous Shunt* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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