Successful treatment of refractory ascites in a child with transjugular intrahepatic portosystemic shunt
Document Type
Article
Publication Date
1-1-2001
Abstract
A 16-y-old boy who had undergone bone marrow transplantation for relapsed acute lymphoblastic leukaemia developed liver cirrhosis and refractory ascites, which did not respond to salt restriction, diuretics and abdominal paracentesis. Liver transplantation was not feasible because of poor nutritional status, pro-existing renal dysfunction and uncertainty about the prognosis of his leukaemia. The patient underwent a Successful transjugular intrahepatic portosystemic shunt (TIPS), with immediate resolution of ascites, enabling cessation of diuretics and improvement in nutritional status. At 24 mo following TIPS there has been no re-accumulation of ascites. Conclusion: TIPS inay have a role in the nianagernent of refractory ascites secondary to liver cirrhosis in selected children.
Keywords
Children, refractory ascites, TIPS
Divisions
fac_med
Publication Title
Acta Paediatrica
Volume
90
Issue
11