Innovative Use of Denver Shunt in a Child with Generalized Lymphatic Anomaly

Ashwin Pimpalwar, Ionela Iacobas, Judith Margolin, Holly Phan-Tran, Sheena Pimpalwar

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background: Denver® shunts have traditionally been used for palliation of refractory malignant and chylous peritoneal and pleural collections. We describe an innovative use of the Denver shunt in a child with generalized lymphatic anomaly. Materials and Methods: Retrospective chart review of a 6-year-old girl with generalized lymphatic anomaly, who presented with refractory lymphorrhea from the labium majus, was performed. This was managed with innovative placement of the Denver shunt between a large abdominal wall cyst and the peritoneal cavity. Results: There was progressive reduction in lymphorrhea with complete cessation at 11 months post shunt placement. At 33-month follow-up, the shunt remains patent with no further lymphorrhea. Conclusion: Denver shunts can be utilized for the creation of internal drainage pathways besides its traditional uses for draining peritoneal and pleural fluids.

Original languageEnglish (US)
Pages (from-to)1091-1094
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume27
Issue number10
DOIs
StatePublished - Oct 2017
Externally publishedYes

Keywords

  • chylothorax
  • chylous ascites
  • denver shunt
  • generalized lymphatic anomaly
  • peritoneo-venous shunt
  • pleuro-peritoneal shunt

ASJC Scopus subject areas

  • Surgery

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