Bi-directional hepatic hydrothorax

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Bi-directional hepatic hydrothorax

A 59-year-old male with alcoholic cirrhosis presented to our hospital with an acutely painful umbilical hernia, and 4 mo of exertional dyspnea. He was noted to be tachypneic and hypoxic. He had a massive right sided pleural effusion with leftward mediastinal shift and gross ascites, with a tense, fluid-filled, umbilical hernia. Emergent paracentesis with drain placement and a large volume thora...

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Hepatic Hydrothorax

Hepatic hydrothorax is an important and difficult-tomanage complication of cirrhosis and portal hypertension. Here, we aimed to study its clinical features and natural history. Complete clinical data, including outcomes, were abstracted from hospital records of patients with cirrhosis and ascites admitted to University of Texas Southwestern University teaching hospitals from January 2001 to Jul...

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Hepatic Hydrothorax with Minimal Ascites

This is the case of a 70-year old male, who was a chronic alcohol drinker and was admitted several times due to complications of liver cirrhosis. He was admitted due to non-productive cough, worsening dyspnea and shortness of breath. Physical examination revealed a patient who was not jaundiced, with decreased breath sounds and dullness to percussion on the right lower lung fields, with normal ...

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Chemical pleurodesis for hepatic hydrothorax.

BACKGROUND Ascites can occur after hepatic diseases causing dyspnea, coughing and pain. When associated with pleural effusion it can also increase respiratory distress. In a bibliographic survey hydrothorax has been observed in up to 20% of the patients and the kind of treatment is still being discussed. OBJECTIVE This case report shows the occurrence of a large volume of ascites and pleural ...

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Hepatic Hydrothorax without Any Evidence of Ascites

Hepatic hydrothorax usually presents in association with ascites, but there are rare cases when it does not. This case helps to support the differential of hepatic hydrothorax in patients who have a history of liver cirrhosis, portal hypertension, and recurrent pleural effusions without ascites. We hope to support the conclusion that a patient with recurrent pleural effusions, without ascites, ...

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ژورنال

عنوان ژورنال: World Journal of Hepatology

سال: 2017

ISSN: 1948-5182

DOI: 10.4254/wjh.v9.i13.642