Abstract
We report a rare complication of incarceration of an umbilical hernia after Denver peritoneovenous shunt placement. A 50-year-old man presented with refractory ascites from liver cirrhosis. He also had an umbilical hernia. Because the ascites became uncontrollable, Denver peritoneovenous shunting was performed. The operation was successful and the ascites decreased. Ten days later, however, incarceration of the umbilical hernia occurred. A surgical repair was performed, but he died 2 days later. The cause of death was considered to be sepsis.
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References
Won JY, Choi SY, Ko HK, Kim SH, Lee KH, Lee JT, et al. Percutaneous peritoneovenous shunt for treatment of refractory ascites. J Vasc Interv Radiol. 2008;19:1717–22.
Rosemurgy AS, Zervos EE, Clark WC, Thometz DP, Black TJ, Zwiebel BR, et al. TIPS versus peritoneovenous shunt in the treatment of medically intractable ascites: a prospective randomized trial. Ann Surg. 2004;239:883–9.
Bratby MJ, Hussain FF, Lopez AJ. Radiological insertion and management of peritoneovenous shunt. Cardiovasc Intervent Radiol. 2007;30:415–8.
Sugawara S, Sone M, Arai Y, Sakamoto N, Aramaki T, Sato Y, et al. Radiological insertion of Denver peritoneovenous shunts for malignant refractory ascites: a retrospective multicenter study (JIVROSG-0809). Cardiovasc Intervent Radiol. 2011;34:980–8.
Trotter JF, Suhocki PV. Incarceration of umbilical hernia following transjugular intrahepatic portosystemic shunt for the treatment of ascites. Liver Transpl Surg. 1999;5:209–10.
Mallavarapu RK, Grimsley EW. Incarcerated umbilical hernia after transjugular intrahepatic portosystemic shunt procedure for refractory ascites. Clin Gastroenterol Hepatol. 2007;5:A26.
Kondo LK, Durham J, Rase B, Johnson S, Trotter J, Woods A. Incarceration of abdominal hernias following transjugular intrahepatic portosystemic shunt (TIPS). J Vasc Interv Radiol. 2011;22:S36–37 Abstract No. 79.
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Ohta, K., Shimohira, M., Hashizume, T. et al. Incarceration of umbilical hernia after radiological insertion of a Denver peritoneovenous shunt. Jpn J Radiol 31, 208–210 (2013). https://doi.org/10.1007/s11604-012-0161-9
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DOI: https://doi.org/10.1007/s11604-012-0161-9