Peritoneovenous shunt

Case contributed by Dr Jayanth Keshavamurthy

Presentation

25 yr old male with history of recurrent malignant ascites from testicular cancer.

Patient Data

Age: 25 years old
Gender: Male

What is the tubing on the left chest wall ?

X-ray

The tubing on the left side is going from the peritoneum to the central venous system. It is a Denver Shunt.

Case Discussion

This is a peritoneovenous shunt (or Denver shunt) draining the peritoneal fluid in a one-way direction. It is used to treat refractory ascites.

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