Lesson of the week: Treating hepatic hydrothorax

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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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Lesson of the week.

Introduction Cecil Alergant's contributions to the specialty were both unique and extensive. He founded a great tradition in 1967 by inaugurating the first university course which culminated in an examination for a Diploma in Venereology awarded by the University of Liverpool. This remains the only Diploma in the specialty awarded by a university in the United Kingdom. Cecil's loyalty and servi...

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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 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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ژورنال

عنوان ژورنال: BMJ

سال: 2003

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.326.7392.751