A fascinating presentation of hepatic hydrothorax  

作　　者：Vinaya Gaduputi Hassan Tariq Kalyan Kanneganti 

机构地区：[1]Department of Medicine, Bronx Lebanon Hospital Center

出　　处：《World Journal of Hepatology》2013年第10期589-591,共3页世界肝病学杂志（英文版）（电子版）

摘　　要：We report this case of a 43-year-old woman with hepatitis-C cirrhosis who presented with a large right sided pleural effusion complicated by hypoxic respiratory failure and altered mentation necessitating dependence on mechanical ventilation. The pleural effusion spontaneously resolved upon initiation of mechanical positive pressure ventilation and recurred almost immediately after weaning the patient off the ventilator. The preventilation, ventilation and post-ventilation chest X-ray films in chronological order present a striking visual demonstration of fluid dynamics and pathophysiology of hepatic hydrothorax, thereby obviating the need for a dedicated diagnostic test. We also report this case to highlight the treatment strategies for this often intractable complication.We report this case of a 43-year-old woman with hepatitis-C cirrhosis who presented with a large right sided pleural effusion complicated by hypoxic respiratory failure and altered mentation necessitating dependence on mechanical ventilation. The pleural effusion spontaneously resolved upon initiation of mechanical positive pressure ventilation and recurred almost immediately after weaning the patient off the ventilator. The preventilation, ventilation and post-ventilation chest X-ray films in chronological order present a striking visual demonstration of fluid dynamics and pathophysiology of hepatic hydrothorax, thereby obviating the need for a dedicated diagnostic test. We also report this case to highlight the treatment strategies for this often intractable complication.

关 键 词：HEPATIC HYDROTHORAX HYDROTHORAX Cirrhotic PLEURAL EFFUSIONS REFRACTORY PLEURAL EFFUSIONS PLEURAL EFFUSIONS in CIRRHOSIS 

分 类 号：R575.2[医药卫生—消化系统]