Soonchunhyang Med Sci.  2012 Jun;18(1):56-60.

Complete Remission of Refractory Hepatic Hydrothorax in Patient with Advanced Liver Cirrhosis and Hepatocellular Carcinoma Using Transjugular Intrahepatic Portosystemic Shunt

Affiliations
  • 1Institute for Digestive Research, Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea. mcnulty@schmc.ac.kr

Abstract

Hepatic hydrothorax is defined as the presence of pleural fluid (>500 mL) in the absence of primary cardiac or pulmonary disease. Initial treatments consist of a low salt diet, diuretics, and thoracentesis. If these are not effective, other modalities should be considered. The transjugular intrahepatic portosystemic shunt (TIPS) placement is one of the modalities for treatment of hepatic hydrothorax. However, the effects of TIPS placement have been contradictory. A 42-year-old man was diagnosed hepatic hydrothorax with liver cirrhosis. He was managed with medical therapy, but it was not effective to control hepatic hydrothorax. This case is reported with a review of relevant literature.

Keyword

Refractory hydrothorax; Transjugular intrahepatic portosystemic shunt

MeSH Terms

Adult
Carcinoma, Hepatocellular
Diet
Diuretics
Humans
Hydrothorax
Liver
Liver Cirrhosis
Lung Diseases
Portasystemic Shunt, Surgical
Diuretics
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