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Disseminated Intravascular CoagulationComplication of LeVeen Peritoneovenous Shunts
Robert G. Lerner, MD;
John C. Nelson, MD;
Peter Corines, MD;
L. R. M. del Guercio, MD
JAMA. 1978;240(19):2064-2066.
Abstract
Disseminated intravascular coagulation (DIC) occurred in three of five patients after insertion of a LeVeen shunt for intractable ascites. Four episodes of DIC in these patients ranged in severity from progressive and life-threatening to transient and asymptomatic. Interruption of the shunt in two patients stopped the DIC. Careful monitoring for DIC following shunt insertion allows rational decisions to protect the patient against life-threatening hemorrhage or thrombosis. Disseminated intravascular coagulation occurred in two patients during a trial intravenous infusion of ascites and occurred in one patient even when the surgical procedure was modified to minimize the volume and rate of the infused ascites.
(JAMA 240:2064-2066, 1978)
Author Affiliations
From the Department of Medicine (Drs Lerner and Nelson), Division of Hematology/Oncology, and the Department of Surgery (Drs Corines and del Guercio), New York Medical College, New York.
Footnotes
Reprint requests to Department of Medicine, New York Medical College, 1249 Fifth Ave, New York, NY 10029 (Dr Lerner).
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