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  • Title: Peritoneovenous shunt for chylous ascites after lung transplantation for lymphangioleiomyomatosis.
    Author: Kanou T, Nakagiri T, Minami M, Inoue M, Shintani Y, Okumura M.
    Journal: Transplant Proc; 2012 Jun; 44(5):1390-3. PubMed ID: 22664021.
    Abstract:
    A 37-year-old woman with lymphangioleiomyomatosis (LAM) who underwent right single-lung transplantation from a cadaveric donor developed persistent chylous ascites. Despite use of diuretics and sirolimus to reduce ascites-associated symptoms and to prevent gastroesophageal reflex triggered by increased abdominal pressure, the ascites were refractory, and periodic paracenteses were required. With placement of a peritoneovenous shunt (Denver shunt), the patient's abdominal circumference decreased, and her symptoms abated. Thus, placement of a peritoneovenous shunt can be an effective management strategy for refractory chylous ascites in patients with LAM, even after lung transplantation.
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