Complications of Denver Shunt

Perera, Eranga; Bhatt, Shweta; Dogra, Vikram S.

doi:10.4103/2156-7514.75247

Cited by 13 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A pleurovenous shunt is a relatively noninvasive procedure used to treat patients with intractable pleural effusions. It allows for external manual compression for fluid drainage [ 42 ] , but shunt failure, pulmonary edema, postshunt coagulopathy, deep vein thrombosis, and bacterial infection remain commonly reported complications [ 43 ] . There are no reports of pleurovenous shunts being complicated by fungal diseases or being a risk factor for dissemination.…”

Section: Discussionmentioning

confidence: 99%

Disseminated Cryptococcal Disease in A Patient With Chronic Chylothorax and a Pleurovenous Catheter, a Case Report With Autopsy Findings

Mundo

Berning

Koullias

et al. 2021

Open Forum Infectious Diseases

View full text Add to dashboard Cite

Cryptococcus species are ubiquitous in the environment with a global distribution. Whilst causing disease predominantly in immunocompromised hosts such as those with advanced HIV, HIV-uninfected patients are increasingly recognized to be affected. The most common forms of infection are cryptococcal pneumonia and meningitis. HIV-uninfected patients and extrapulmonary infections have worse outcomes, likely due to delayed diagnosis and treatment. Cryptococcus infections involving chylothorax or chyloabdomen have rarely been reported in humans. We describe a case of fulminant disseminated cryptococcosis with fungemia, peritonitis, and empyema in a patient with chronic chylothorax treated with an indwelling pleurovenous shunt. Key autopsy findings included cryptococcal organisms identified on calcified lymphadenopathy, pleural adhesions, and pericardium. We discuss the importance of identifying patients with non-traditional risks factors for cryptococcal disease, such as lymphopenia and hypogammaglobulinemia, and the potential implications of pleurovenous catheters in Cryptococcus dissemination.

show abstract

Section: Discussionmentioning

confidence: 99%

Disseminated Cryptococcal Disease in A Patient With Chronic Chylothorax and a Pleurovenous Catheter, a Case Report With Autopsy Findings

Mundo

Berning

Koullias

et al. 2021

Open Forum Infectious Diseases

View full text Add to dashboard Cite

show abstract

“…Early surgical exploration is the treatment of choice with a high success rate. Histological changes were seen such as the absence of spermatids, decreased spermatogonia, the presence of germ cells, and an increase in alternative germ cells in cases of delayed testicle reposition beyond four months 2 . A prompt diagnosis of testicular dislocation and urgent consultation to urologic surgery is warranted to avoid permanent damage to testicular tissue, if undiagnosed, leading to infertility.…”

Section: Discussionmentioning

confidence: 99%

“…Most testicular dislocations are unilateral, with a minority of cases being bilateral. It occurs as a result of extra scrotal migration in the setting of direct scrotal trauma or trauma to the inguinal area 1,2 . Although testicular dislocations are most commonly unilateral, Kochakarn revealed that 83% of patients evaluated had traumatic bilateral testicular dislocation 3 , raising the possibility of the rarity and its association to pelvic ring fractures.…”

mentioning

confidence: 99%

Blunt Abdominopelvic Trauma Complicated by Traumatic Testicular Dislocation in a 19-Year-Old Male Patient

Mangual-Pérez

Torres-Cintron

Colon-Morillo

et al. 2021

JBJS Case Connector

View full text Add to dashboard Cite

Case: A 19 year-old male patient presented with testicular dislocation after abdominopelvic trauma. During open reduction and internal fixation, consult to urology was placed after discovering the presence of the intra-abdominal testicle. The testicle was repositioned into the scrotum with orchiopexy, and pelvic fixation was completed with 1 sacroiliac percutaneous screw and pubic symphysis fixation. Postoperative recovery was uneventful, and the patient was discharged home on postoperative day 3. Conclusion: Testicular dislocation is an uncommon finding after blunt abdominopelvic trauma; hence, it may be overlooked. Prompt diagnosis of testicular dislocation given the need for operative management to preserve testicle viability is crucial.

show abstract

“…Early complication mainly consists of disseminated intravascular coagulation, and late complications include shunt occlusion, post shunt coagulopathy, deep vein thrombosis, catheter breakage, infection and leakage [2]. Shunt occlusion is the most common complication, affecting approximately 10–15% of patients [6]. The main cause of occlusion is the accumulation of fibrin and cellular debris that often get impacted after manual compression [7].…”

Section: Discussionmentioning

confidence: 99%

Liver Abscesses after Peritoneal Venous Shunt

Kawaratani¹,

Tsujimoto²,

Kubo³

et al. 2013

Case Rep Gastroenterol

View full text Add to dashboard Cite

A 70-year-old man was referred to our hospital for high-grade fever with chills. He has visited our hospital for alcoholic liver cirrhosis and diabetes mellitus for over 20 years. Nine months earlier, he had received a peritoneal venous shunt (Denver shunt®) because of refractory ascites. Laboratory examinations revealed elevated C-reactive protein and liver dysfunction. Ultrasonography and abdominal enhanced computed tomography showed multiple small abscesses in the right lobe of the liver. Blood culture test did not detect the pathogenic bacteria of liver abscesses. The patient was treated with antibiotics for more than 2 months and cured from the infection, but 3 months later, he developed high-grade fever again. He had a recurrence of multiple small liver abscesses involving both lobes of the liver. He was treated with antibiotics, and the abscesses disappeared within a month. After the antibiotic treatment, he had selective intestinal decontamination with kanamycin. He has had no recurrence of liver abscess for over a year. To our knowledge, this is the first report of liver abscess in a cirrhotic patient with Denver shunt. Clinicians should bear liver abscess in mind when treating patients with high-grade fever and liver dysfunction following Denver shunt implantation.

show abstract

Complications of Denver Shunt

Cited by 13 publications

References 10 publications

Disseminated Cryptococcal Disease in A Patient With Chronic Chylothorax and a Pleurovenous Catheter, a Case Report With Autopsy Findings

Disseminated Cryptococcal Disease in A Patient With Chronic Chylothorax and a Pleurovenous Catheter, a Case Report With Autopsy Findings

Blunt Abdominopelvic Trauma Complicated by Traumatic Testicular Dislocation in a 19-Year-Old Male Patient

Liver Abscesses after Peritoneal Venous Shunt

Contact Info

Product

Resources

About