Hepatic hydrothorax: Pathophysiology diagnosis and management
نویسندگان
چکیده
منابع مشابه
Hepatic hydrothorax: current concepts of pathophysiology and treatment options.
Pleural effusions develop in 6-10% of patients with end-stage liver disease. Although, commonly seen in conjunction with ascites, isolated hepatic hydrothorax can occur in a small number of patients with cirrhosis. Refractory hepatic hydrothorax particularly poses a challenging therapeutic dilemma as treatment options are limited at best in these patients. Current patho-physiologic understandin...
متن کاملHepatic 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...
متن کاملBi-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...
متن کاملEvidence-based review of the management of hepatic hydrothorax.
Hepatic hydrothorax (HH) is an example of a porous diaphragm syndrome. Portal hypertension results in the formation of ascitic fluid which moves across defects in the diaphragm and accumulates in the pleural space. Consequently, the treatment approach to HH consists of measures to reduce the formation of ascitic fluid, prevent the movement of ascitic fluid across the diaphragm, and drain or obl...
متن کاملChemical Pleurodesis in the Management of Hepatic Hydrothorax
Background: Chemical pleurodesis is an effective treatment for malignant effusion and pneumothorax. Although this mode of therapy is less widely accepted in treatment of patients with hepatic hydrothorax, the need of palliative treatment in such patients encouraged us to do this work. Study Objectives: To analyze the outcome of chemical pleurodesis using Iodopovidone, vibramycin and talc slurry...
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ژورنال
عنوان ژورنال: Journal of Gastroenterology and Hepatology
سال: 2007
ISSN: 0815-9319,1440-1746
DOI: 10.1111/j.1440-1746.2007.05069.x