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open access

Vol 7, No 1 (2008)
Case reports
Published online: 2008-02-25
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Hepatic hydrothorax - complication of end-stage hepatic cirrhosis

Iwona Damps-Konstańska, Marek Niedoszytko, Krzysztof Kuziemski, Krzysztof Specjalski, Jakub Łata, Ewa Jassem
Advances in Palliative Medicine 2008;7(1):29-32.

open access

Vol 7, No 1 (2008)
Case reports
Published online: 2008-02-25

Abstract

62-year-old woman admitted to the hospital with dyspnoea, elevated body temperature, cough for two days. Patient has been treated for alcoholic hepatic sclerosis for 12 years and hepatitis C infection for 5 years. The chest X-ray revealed hydrothorax of right pleura. Continuous drainage of the right pleura was applied. In spite of intensive treatment effusion excuded 1000 ml/day making pleurodesis impossible, and eventually pleuro-peritoneal shunt was performed. Shunt drainage however turned out to be insufficient to evacuate the pleural fluid. The shunt was removed and continuous pleural drainage was reopen. Due to subsequent disseminated intravascular coagulation, patient was treated with fresh frozen plasma, heparin, blood and platelets. The clinical status alleviated, but patient still required chest tube because of the refractory hydrothorax.

Abstract

62-year-old woman admitted to the hospital with dyspnoea, elevated body temperature, cough for two days. Patient has been treated for alcoholic hepatic sclerosis for 12 years and hepatitis C infection for 5 years. The chest X-ray revealed hydrothorax of right pleura. Continuous drainage of the right pleura was applied. In spite of intensive treatment effusion excuded 1000 ml/day making pleurodesis impossible, and eventually pleuro-peritoneal shunt was performed. Shunt drainage however turned out to be insufficient to evacuate the pleural fluid. The shunt was removed and continuous pleural drainage was reopen. Due to subsequent disseminated intravascular coagulation, patient was treated with fresh frozen plasma, heparin, blood and platelets. The clinical status alleviated, but patient still required chest tube because of the refractory hydrothorax.
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Keywords

hydrothorax; cirrhosis; chest tube; pleuro-peritoneal shunt

About this article
Title

Hepatic hydrothorax - complication of end-stage hepatic cirrhosis

Journal

Advances in Palliative Medicine

Issue

Vol 7, No 1 (2008)

Pages

29-32

Published online

2008-02-25

Bibliographic record

Advances in Palliative Medicine 2008;7(1):29-32.

Keywords

hydrothorax
cirrhosis
chest tube
pleuro-peritoneal shunt

Authors

Iwona Damps-Konstańska
Marek Niedoszytko
Krzysztof Kuziemski
Krzysztof Specjalski
Jakub Łata
Ewa Jassem

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