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Hepatic Hydrothorax

Clinics in Liver Disease, 2014
Hepatic hydrothorax (HH) is an uncommon complication in patients with end-stage liver disease. Only 5% to 10% of patients with end-stage liver disease develop HH, which may result in dyspnea, hypoxia, and infection, and portends a poor prognosis. The most likely explanation for development is passage of fluid from the peritoneal space to the pleural ...
John Paul, Norvell, James R, Spivey
  +7 more sources

Hepatic Hydrothorax

Seminars in Respiratory and Critical Care Medicine, 2001
Hepatic hydrothorax (HH) is an uncommon manifestation of cirrhosis with ascites. Pleural effusions form when ascitic fluid moves through diaphragmatic defects that have been opened by increased peritoneal pressure. The diagnosis is established clinically by finding a serous transudate and is confirmed by radionuclide imaging demonstrating communication
J R, Milanez de Campos   +5 more
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Hepatic hydrothorax

British Journal of Hospital Medicine, 2005
A 67-year-old man was admitted with a 1-week history of shortness of breath. He was a heavy smoker with alcohol consumption exceeding 40 units per week. On examination he was apyrexial and had signs of a right-sided pleural effusion. His liver was enlarged 3 cm below the costal margin. There was no ascites or splenomegaly.
A K, Awasthi, M E, Cramp
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Hepatic hydrothorax

Current Opinion in Internal Medicine, 2003
A hepatic hydrothorax is a pleural effusion that develops in a patient with cirrhosis and portal hypertension in the absence of cardiopulmonary disease. The pleural effusion is derived from ascitic fluid that enters the chest because of the negative pressure within the pleural space via defects in the diaphragm.
Gary T, Kinasewitz, Jean I, Keddissi
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Hepatic hydrothorax

Current Opinion in Pulmonary Medicine, 1998
Hepatic hydrothorax is the accumulation of ascitic fluid in the pleural space and requires the same treatment as ascites: salt restriction, diuretics, and paracentesis. Refractory hydrothorax appears when there is no response to those measures and its management is not well established.
X, Xiol, J, Guardiola
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Hepatic Hydrothorax

Seminars in Respiratory and Critical Care Medicine, 2012
Hepatic hydrothorax is defined as a transudative pleural effusion, usually greater than 500 mL, in patients with portal hypertension without any other underlying primary cardiopulmonary cause. It develops most likely because of diaphragmatic defects that allow for passage of fluid from the peritoneal space to the pleural space.
Karen L, Krok, Andrés, Cárdenas
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Hepatic Hydrothorax

Seminars in Liver Disease, 1997
Ascites is a common manifestation of portal hypertension in patients with cirrhosis. Approximately 5% of patients with cirrhosis may develop a pleural effusion. This is usually right sided. In the absence of cardiac or lung disease, the presence of a pleural effusion in a cirrhotic patient is known as hepatic hydrothorax.
R M, Strauss, T D, Boyer
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Hepatic Hydrothorax

Clinical Nuclear Medicine, 1996
Twelve cases of right hepatic hydrothorax are reported. Tc-99m SC that was injected intraperitoneally and intrapleurally provided evidence of a one-way flow of fluid from the peritoneal to the pleural cavity. Eight patients, whose hydrothorax was refractory to sodium restriction, diuretics and repeated thoracenteses, were treated by endopleural ...
A, Giacobbe   +4 more
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