Successful Treatment of Ascites using a Denver(Ⓡ) Peritoneovenous Shunt in a Patient with Paroxysmal Nocturnal Hemoglobinuria and Budd-Chiari syndrome

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 accordi...

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Autores principales: Kogiso, Tomomi, Hashimoto, Etsuko, Ito, Taito, Hara, Toshifumi, Ikarashi, Yuichi, Kodama, Kazuhisa, Taniai, Makiko, Torii, Nobuyuki, Yoshinaga, Kentaro, Morita, Satoru, Takahashi, Yutaka, Tanaka, Junji, Sakai, Shuji, Yamamoto, Masakazu, Tokushige, Katsutoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5109562/
https://www.ncbi.nlm.nih.gov/pubmed/27746432
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author Kogiso, Tomomi
Hashimoto, Etsuko
Ito, Taito
Hara, Toshifumi
Ikarashi, Yuichi
Kodama, Kazuhisa
Taniai, Makiko
Torii, Nobuyuki
Yoshinaga, Kentaro
Morita, Satoru
Takahashi, Yutaka
Tanaka, Junji
Sakai, Shuji
Yamamoto, Masakazu
Tokushige, Katsutoshi
author_facet Kogiso, Tomomi
Hashimoto, Etsuko
Ito, Taito
Hara, Toshifumi
Ikarashi, Yuichi
Kodama, Kazuhisa
Taniai, Makiko
Torii, Nobuyuki
Yoshinaga, Kentaro
Morita, Satoru
Takahashi, Yutaka
Tanaka, Junji
Sakai, Shuji
Yamamoto, Masakazu
Tokushige, Katsutoshi
author_sort Kogiso, Tomomi
collection PubMed
description 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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spelling pubmed-51095622016-11-17 Successful Treatment of Ascites using a Denver(Ⓡ) Peritoneovenous Shunt in a Patient with Paroxysmal Nocturnal Hemoglobinuria and Budd-Chiari syndrome Kogiso, Tomomi Hashimoto, Etsuko Ito, Taito Hara, Toshifumi Ikarashi, Yuichi Kodama, Kazuhisa Taniai, Makiko Torii, Nobuyuki Yoshinaga, Kentaro Morita, Satoru Takahashi, Yutaka Tanaka, Junji Sakai, Shuji Yamamoto, Masakazu Tokushige, Katsutoshi Intern Med Case Report 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. The Japanese Society of Internal Medicine 2016-10-15 /pmc/articles/PMC5109562/ /pubmed/27746432 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kogiso, Tomomi
Hashimoto, Etsuko
Ito, Taito
Hara, Toshifumi
Ikarashi, Yuichi
Kodama, Kazuhisa
Taniai, Makiko
Torii, Nobuyuki
Yoshinaga, Kentaro
Morita, Satoru
Takahashi, Yutaka
Tanaka, Junji
Sakai, Shuji
Yamamoto, Masakazu
Tokushige, Katsutoshi
Successful Treatment of Ascites using a Denver(Ⓡ) Peritoneovenous Shunt in a Patient with Paroxysmal Nocturnal Hemoglobinuria and Budd-Chiari syndrome
title Successful Treatment of Ascites using a Denver(Ⓡ) Peritoneovenous Shunt in a Patient with Paroxysmal Nocturnal Hemoglobinuria and Budd-Chiari syndrome
title_full Successful Treatment of Ascites using a Denver(Ⓡ) Peritoneovenous Shunt in a Patient with Paroxysmal Nocturnal Hemoglobinuria and Budd-Chiari syndrome
title_fullStr Successful Treatment of Ascites using a Denver(Ⓡ) Peritoneovenous Shunt in a Patient with Paroxysmal Nocturnal Hemoglobinuria and Budd-Chiari syndrome
title_full_unstemmed Successful Treatment of Ascites using a Denver(Ⓡ) Peritoneovenous Shunt in a Patient with Paroxysmal Nocturnal Hemoglobinuria and Budd-Chiari syndrome
title_short Successful Treatment of Ascites using a Denver(Ⓡ) Peritoneovenous Shunt in a Patient with Paroxysmal Nocturnal Hemoglobinuria and Budd-Chiari syndrome
title_sort successful treatment of ascites using a denver(ⓡ) peritoneovenous shunt in a patient with paroxysmal nocturnal hemoglobinuria and budd-chiari syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5109562/
https://www.ncbi.nlm.nih.gov/pubmed/27746432
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