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James Holcroft, MD; Herbert Y. Kressel, MD; Robert Prager, MD; Donald Trunkey, MD; Richard P. Jacobs, MD

Arch Surg. 1976;111(3):302-303.

Abstract
• A patient with intractable ascites was treated by placement of the LeVeen peritoneovenous shunt. Shunt failure was caused by malpositioning of the venous limb in the inferior vena cava. This was demonstrated by injection of water-soluble contrast material into the venous limb. Revision of the shunt led to diuresis, weight loss, and reduction of ascites. The physiologic process of the LeVeen shunt is reviewed and we suggest placement of a radiopaque marker into the tubing.

(Arch Surg 111:302-303, 1976)

Author Affiliations
From the departments of surgery (Drs Holcroft and Trunkey) and radiology (Drs Kressel, Prager, and Jacobs), University of California Service, San Francisco General Hospital.

Footnotes
Accepted for publication Aug 13, 1975.

Reprint requests to Department of Radiology, University of California Service, San Francisco General Hospital, 1001 Potrero Ave, San Francisco, CA 94110 (Dr Jacobs).

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