Peritoneovenous shunt

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Peritoneovenous shunt
MeSH D010536

A peritoneovenous shunt (also called LeVeen Shunt) is a shunt which drains peritoneal fluid from the peritoneum into veins, usually the internal jugular vein or the superior vena cava. It is sometimes used in patients with refractory ascites.

Shunt (medical) hole or small passage which moves, or allows movement of, fluid from one part of the body to another

In medicine, a shunt is a hole or a small passage which moves, or allows movement of, fluid from one part of the body to another. The term may describe either congenital or acquired shunts; and acquired shunts may be either biological or mechanical.

Peritoneal fluid is a liquid made in the abdominal cavity which lubricates the surface of tissue that lines the abdominal wall and pelvic cavity. It covers most of the organs in the abdomen. An increased volume of peritoneal fluid is called ascites.

Peritoneum serous membrane that forms the lining of the abdominal cavity or the coelom—it covers most of the intra-abdominal (or coelomic) organs—in amniotes and some invertebrates

The peritoneum is the serous membrane forming the lining of the abdominal cavity or coelom in amniotes and some invertebrates, such as annelids. It covers most of the intra-abdominal organs, and is composed of a layer of mesothelium supported by a thin layer of connective tissue. This peritoneal lining of the cavity supports many of the abdominal organs and serves as a conduit for their blood vessels, lymphatic vessels, and nerves.

It is a long tube with a non-return valve running subcutaneously from the peritoneum to the internal jugular vein in the neck, which allows ascitic fluid to pass directly into the systemic circulation.

Possible complications include:

  1. Infection
  2. Superior vena caval thrombosis
  3. Pulmonary edema
  4. Bleeding from varices
  5. Disseminated intravascular coagulation

Related Research Articles

Brachiocephalic vein

The left and right brachiocephalic veins in the upper chest are formed by the union of each corresponding internal jugular vein and subclavian vein. This is at the level of the sternoclavicular joint. The left brachiocephalic vein is usually longer than the right.

Superior vena cava One of two veinous trunks bringing deoxygenated blood back to the heart

The superior vena cava (SVC) is the superior of the two venae cavae, the great venous trunks that return deoxygenated blood from the systemic circulation to the right atrium of the heart. It is a large-diameter (24 mm), yet short, vein that receives venous return from the upper half of the body, above the diaphragm. The SVC is located in the anterior right superior mediastinum. It is the typical site of central venous access (CVA) via a central venous catheter or a peripherally inserted central catheter. Mentions of "the cava" without further specification usually refer to the SVC.

Inferior vena cava One of two veinous trunks bringing deoxygenated blood back to the heart

The inferior vena cava is a large vein that carries the deoxygenated blood from the lower and middle body into the right atrium of the heart. Its walls are rigid and it has valves so the blood does not flow down via gravity. It is formed by the joining of the right and the left common iliac veins, usually at the level of the fifth lumbar vertebra.

Jugular venous pressure

The jugular venous pressure is the indirectly observed pressure over the venous system via visualization of the internal jugular vein. It can be useful in the differentiation of different forms of heart and lung disease. Classically three upward deflections and two downward deflections have been described.

The peritoneal cavity is a potential space between the parietal peritoneum and visceral peritoneum. Both the parietal and visceral peritonea are not different but the same peritoneum given two names depending on their function/location. It is one of the spaces derived from the coelomic cavity of the embryo, the others being the pleural cavities around the lungs and the pericardial cavity around the heart.

Abdominal aorta

The abdominal aorta is the largest artery in the abdominal cavity. As part of the aorta, it is a direct continuation of the descending aorta.

Jugular vein veins that bring deoxygenated blood from the head back to the heart

The jugular veins are veins that take deoxygenated blood from the head back to the heart via the superior vena cava.

Internal jugular vein paired vein collecting the blood from the brain, the superficial parts of the face, and the neck

The internal jugular vein is a paired jugular vein that collects blood from the brain and the superficial parts of the face and neck. The vein runs in the carotid sheath with the common carotid artery and vagus nerve.

Peripherally inserted central catheter Catheter intended for long periods of use

A peripherally inserted central catheter, less commonly called a percutaneous indwelling central catheter, is a form of intravenous access that can be used for a prolonged period of time or for administration of substances that should not be done peripherally. It is a catheter that enters the body through the skin (percutaneously) at a peripheral site, extends to the superior vena cava, and stays in place for days or weeks.

Transjugular intrahepatic portosystemic shunt

Transjugular intrahepatic portosystemic shunt is an artificial channel within the liver that establishes communication between the inflow portal vein and the outflow hepatic vein. It is used to treat portal hypertension which frequently leads to intestinal bleeding, life-threatening esophageal bleeding and the buildup of fluid within the abdomen (ascites).

Transverse sinuses

The transverse sinuses, within the human head, are two areas beneath the brain which allow blood to drain from the back of the head. They run laterally in a groove along the interior surface of the occipital bone. They drain from the confluence of sinuses to the sigmoid sinuses, which ultimately connect to the internal jugular vein. See diagram : labeled under the brain as "SIN. TRANS.".

Inferior thyroid veins

The inferior thyroid veins appear two, frequently three or four, in number, and arise in the venous plexus on the thyroid gland, communicating with the middle and superior thyroid veins. While the superior and middle thyroid veins serve as direct tributaries to the internal jugular vein, the inferior thyroid veins drain directly to the brachiocephalic veins.

Middle thyroid vein

The middle thyroid vein collects the blood from the lower part of the thyroid gland, and after being joined by some veins from the larynx and trachea, ends in the lower part of the internal jugular vein.

Anterior cardinal vein

The anterior cardinal veins contribute to the formation of the internal jugular veins and together with the common cardinal vein form the superior vena cava. In an anastomosis by anterior cardinal veins, the left brachiocephalic vein is produced.

Testicular vein male gonadal vein

The testicular vein, the male gonadal vein, carries deoxygenated blood from its corresponding testis to the inferior vena cava or one of its tributaries. It is the male equivalent of the ovarian vein, and is the venous counterpart of the testicular artery.

Carotid triangle

The carotid triangle is a portion of the anterior triangle of the neck.

Omental foramen

In human anatomy, the omental foramen, is the passage of communication, or foramen, between the greater sac, and the lesser sac.

An exploratory laparotomy is a surgical operation where the abdomen is opened and the abdominal organs examined for injury or disease. It is the standard of care in various blunt and penetrating trauma situations in which there may be multiple life-threatening injuries, and in many diagnostic situations in which the operation is undertaken in search of a unifying cause for multiple signs and symptoms of disease.

Ambesh maneuver is a technique that involves the simple external compression of internal jugular vein in supraclavicular fossa to prevent and diagnose misplacement of the subclavian vein catheter into the internal jugular vein (IJV). The subclavian vein is a big vessel that drains the blood from the hand, forearm and the upper arm into the right side of the heart through superior vena cava. The subclavian veins lie just behind the clavicle on each side and therefore known as subclavian vein.

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