Chemical pleurodesis for hepatic hydrothorax
Background - Ascites can occur after hepatic diseases causing dyspnea, coughing and pain. When associated with pleural effusion it can also increase respiratory distress. In a bibliographic survey hydrothorax has been observed in up to 20% of the patients and the kind of treatment is still being discussed. Objective This case report shows the occurrence of a large volume of ascites and pleural effusion in a cirrhotic patient and his treatment. Methods Report the case of a patient with hepatic cirrhosis due to chronic alcoholism and massive pleural effusion and ascites. He was submitted to several pleural paracenteses without success. Scintigraphy showed the presence of ascites and confirmed a possible pleuroperitoneal communication. The thoracic surgery group was called and after evaluation it was decided to submit the patient to a pulmonary decortication and chemical pleurodesis. Results These procedures were carried out with success. The pleural effusion was solved and the treatment of ascites was decided upon because the patient did not accept any surgical procedure. Conclusion - This treatment could be applied to patients with hydrothorax who could not be submitted to a liver transplantation.
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Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE.
2001
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oai:scielo:S0004-280320010002000082003-02-05Chemical pleurodesis for hepatic hydrothoraxBOIN,Ilka de Fatima Santana FerreiraSILVA,Aurea Maria OliveiraLEONARDI,Luiz Sergio Pleurodesis Hydrothorax Ascites Liver diseases Background - Ascites can occur after hepatic diseases causing dyspnea, coughing and pain. When associated with pleural effusion it can also increase respiratory distress. In a bibliographic survey hydrothorax has been observed in up to 20% of the patients and the kind of treatment is still being discussed. Objective This case report shows the occurrence of a large volume of ascites and pleural effusion in a cirrhotic patient and his treatment. Methods Report the case of a patient with hepatic cirrhosis due to chronic alcoholism and massive pleural effusion and ascites. He was submitted to several pleural paracenteses without success. Scintigraphy showed the presence of ascites and confirmed a possible pleuroperitoneal communication. The thoracic surgery group was called and after evaluation it was decided to submit the patient to a pulmonary decortication and chemical pleurodesis. Results These procedures were carried out with success. The pleural effusion was solved and the treatment of ascites was decided upon because the patient did not accept any surgical procedure. Conclusion - This treatment could be applied to patients with hydrothorax who could not be submitted to a liver transplantation.info:eu-repo/semantics/openAccessInstituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. Arquivos de Gastroenterologia v.38 n.2 20012001-04-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032001000200008en10.1590/S0004-28032001000200008 |
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BOIN,Ilka de Fatima Santana Ferreira SILVA,Aurea Maria Oliveira LEONARDI,Luiz Sergio |
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BOIN,Ilka de Fatima Santana Ferreira SILVA,Aurea Maria Oliveira LEONARDI,Luiz Sergio Chemical pleurodesis for hepatic hydrothorax |
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BOIN,Ilka de Fatima Santana Ferreira SILVA,Aurea Maria Oliveira LEONARDI,Luiz Sergio |
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BOIN,Ilka de Fatima Santana Ferreira |
title |
Chemical pleurodesis for hepatic hydrothorax |
title_short |
Chemical pleurodesis for hepatic hydrothorax |
title_full |
Chemical pleurodesis for hepatic hydrothorax |
title_fullStr |
Chemical pleurodesis for hepatic hydrothorax |
title_full_unstemmed |
Chemical pleurodesis for hepatic hydrothorax |
title_sort |
chemical pleurodesis for hepatic hydrothorax |
description |
Background - Ascites can occur after hepatic diseases causing dyspnea, coughing and pain. When associated with pleural effusion it can also increase respiratory distress. In a bibliographic survey hydrothorax has been observed in up to 20% of the patients and the kind of treatment is still being discussed. Objective This case report shows the occurrence of a large volume of ascites and pleural effusion in a cirrhotic patient and his treatment. Methods Report the case of a patient with hepatic cirrhosis due to chronic alcoholism and massive pleural effusion and ascites. He was submitted to several pleural paracenteses without success. Scintigraphy showed the presence of ascites and confirmed a possible pleuroperitoneal communication. The thoracic surgery group was called and after evaluation it was decided to submit the patient to a pulmonary decortication and chemical pleurodesis. Results These procedures were carried out with success. The pleural effusion was solved and the treatment of ascites was decided upon because the patient did not accept any surgical procedure. Conclusion - This treatment could be applied to patients with hydrothorax who could not be submitted to a liver transplantation. |
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Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. |
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2001 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032001000200008 |
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AT boinilkadefatimasantanaferreira chemicalpleurodesisforhepatichydrothorax AT silvaaureamariaoliveira chemicalpleurodesisforhepatichydrothorax AT leonardiluizsergio chemicalpleurodesisforhepatichydrothorax |
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