Spontaneous central venous thrombosis and shunt occlusion following peritoneovenous shunt placement for intractable ascites

Hariharan, D. and Wilkes, Emilie A. and Aithal, Guruprasad P. and Travis, S.J. and Lobo, Dileep N. (2017) Spontaneous central venous thrombosis and shunt occlusion following peritoneovenous shunt placement for intractable ascites. Annals of the Royal College of Surgeons of England, 99 (5). e145-e147. ISSN 1478-7083

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Abstract

A 43-year-old man had a peritoneovenous shunt inserted for the treatment of chylous ascites secondary to myelofibrosis. Despite being on anticoagulation for superior mesenteric vein thrombosis, he developed shunt dysfunction within two weeks of insertion. Superior venacavography showed multiple filling defects in the right axillary vein, no filling of the right brachiocephalic and right subclavian vein, and thrombotic occlusion of the internal jugular veins bilaterally. The shunt was removed 11 days after insertion, and there was extensive thrombosis of the venous end of the shunt and the compressible pump chamber. Shunt thrombosis is known to occur but remains a rare complication, with 87% of such obstructions being due to a thrombus at the tip of the venous end of the shunt. Extensive thrombosis of the shunt (as in the present case) is very rare.

Item Type: Article
RIS ID: https://nottingham-repository.worktribe.com/output/858391
Keywords: Peritoneovenous shunt; Thrombosis; Occlusion; Ascites; Chylous
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Nottingham Digestive Diseases Centre
Identification Number: https://doi.org/10.1308/rcsann.2017.0058
Depositing User: Brueton, Kim
Date Deposited: 18 Apr 2018 09:46
Last Modified: 04 May 2020 18:43
URI: http://eprints.nottingham.ac.uk/id/eprint/51215

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