Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Successful Treatment of Ascites using a Denver® Peritoneovenous Shunt in a Patient with Paroxysmal Nocturnal Hemoglobinuria and Budd-Chiari syndrome
Tomomi KogisoEtsuko HashimotoTaito ItoToshifumi HaraYuichi IkarashiKazuhisa KodamaMakiko TaniaiNobuyuki ToriiKentaro YoshinagaSatoru MoritaYutaka TakahashiJunji TanakaShuji SakaiMasakazu YamamotoKatsutoshi Tokushige
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JOURNALS OPEN ACCESS

2016 Volume 55 Issue 20 Pages 2957-2963

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Abstract

A 56-year-old man was diagnosed with aplastic anemia and paroxysmal nocturnal hemoglobinuria at 43 years of age and treatment with cyclosporin A was started. Liver cirrhosis, ascites, and thrombus in the hepatic veins were found at 56 years of age and Budd-Chiari syndrome (BCS) was diagnosed according to angiography findings. He was treated with diuretics and paracentesis was performed several times, but with limited efficacy. A Denver® peritoneovenous shunt (PVS) was inserted into the right jugular vein; his ascites and renal function improved immediately and his general condition has remained good for 12 months since starting the above treatment regimen. A PVS is a treatment option for ascites due to BCS.

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© 2016 by The Japanese Society of Internal Medicine
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