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 language | English (US) |
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Pages (from-to) | 1091-1094 |
Number of pages | 4 |
Journal | Journal of Laparoendoscopic and Advanced Surgical Techniques |
Volume | 27 |
Issue number | 10 |
DOIs | |
State | Published - Oct 2017 |
Externally published | Yes |
Keywords
- chylothorax
- chylous ascites
- denver shunt
- generalized lymphatic anomaly
- peritoneo-venous shunt
- pleuro-peritoneal shunt
ASJC Scopus subject areas
- Surgery