부산대학교 도서관

We report a case that in which a Denver peritoneovenous shunt used for refractory ascites provided long–term survival. A 59–years–old man with Grade B cirrhosis (Child–Pugh Score: 7 points) and diabetes treated by insulin had partial S8 liver resection for single hepatocellular carcinoma. Massive postoperative ascites appears not controllable with sodium–restricted diet or diuretic or albumin infusion required short–term paracentesis. Following placement of a Denver peritoneovenous shunt he developed temporary disseminated intravascular coagulation (DIC) that was soon relieved. He still required transcatheter arterial chemoembolization (TACE) three times for recurrent hepatocellular carcinoma but experienced no complications or ascites. He died of liver failure about 31 months (2.75 years) after shunt placement.