Ascites drainage by using the Le Veen shunt should be attempted after other treatments have failed. A silicon catheter connects the intraperitoneal space with the vena cava superior via a jugular vein. According to our own observations, misleading may occur during the insertion of the venous part of the catheter into the vena jugularis externa. Later, a thrombosis may occur. Intra- or postoperative roentgen controls for corrections or replacements seem advisable.