Successful treatment of refractory ascites in a child with transjugular intrahepatic portosystemic shunt

W. S. Lee, P. J. McKiernan, J. D V De Goyet, M. S. Tanner, P. R. John

Research output: Contribution to journalArticle

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, pre-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 may have a role in the management of refractory ascites secondary to liver cirrhosis in selected children.

Original languageEnglish
Pages (from-to)1352-1355
Number of pages4
JournalActa Paediatrica, International Journal of Paediatrics
Volume90
Issue number11
DOIs
Publication statusPublished - 2001

Keywords

  • Children
  • Refractory ascites
  • TIPS

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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