Yahya ATAYAN, Mehmet Ali ERDOĞAN, Yasir Furkan ÇAĞIN, Yılmaz BİLGİÇ, Murat ALADAĞ, Murat HARPUTLUOĞLU, Melih KARINCAOĞLU, Yüksel SEÇKİN

The First Finding of Cirrhosis: Hepatic Hydrothorax Caused by Absence of Ascites

ISSN: 2147-0634
Yayın Aralığı: 4
Başlangıç: 2012
Yayıncı: Effect Publishing Agency ( EPA )

Hepatic hydrothorax is a pleural effusion occurs in cirrhotic patients without any cardiac and pulmonary disease. Generally it shows up in acidic cases. The most of the cases show up on the right side whereas it rarely shows up on the left and on both sides. Its treatments are salt restriction, diuretic medication and therapeutic thoracentesis. In resistant cases pleurodesis, videothoracoscopic repair of defects, transjugular intrahepatic portosystemic shunt (TIPS) as well as liver transplantation in end stage hepatic cirrhosis patients can be done. In this article, we presented a 54 year old female case with hepatic cirrhosis and hydrothorax without ascites, admitting to clinic because of dyspnea.

PDF

___

1. Gur C, Ilan Y, Shibolet O. Hepatic hydrothorax-pathophysiology, diagnosis and treatment--review of the literature. Liver Int. 2004;24(4):281-4.

2. Bhattacharya A, Mittal BR, Biswas T, Dhiman RK, Singh B, Jindal SK, Chawla Y. Radioisotope scintigraphy in the diagnosis of hepatic hydrothorax. J Gastroenterol Hepatol. 2001;16(3):317-21.

3. Alberts WM, Salem AJ, Solomon DA, Boyce G. Hepatic hydrothorax. Cause and management. Arch Intern Med. 1991;151(12):2383-8.

4. Dumont AE, Molholland JH. Flow rate and composition of thoracic-duct lymph in patients with cirrhosis. N Engl J Med. 1960;263:471-4.

5. Milanez de Campos JR, Filho LO, de Campos Werebe E, Sette H Jr, Fernandez A, Filomeno LT, Jatene FB. Thoracoscopy and talc poudrage in the management of hepatic hydrothorax. Chest. 2000:118(1);13-7.

6. Huang PM, Chang YL, Yang CY, Lee YC. The morphology of diaphragmatic defects in hepatic hydrothorax: thoracoscopic finding. J Thorac Cardiovasc Surg. 2005;130(1):141-5.