Chemical pleurodesis for hepatic hydrothorax

Arquivos de Gastroenterologia

Ilka De Fatima Santana Ferreira Boin²  Aurea Maria Oliveira Silva¹  Luiz Sergio Leonardi¹ 

[1] ,UNICAMP Faculty of Medical Sciences

关键词: Pleurodesis;    Hydrothorax;    Ascites;    Liver diseases;    Pleurodese;    Hidrotórax;    Ascite;    Hepatopatias;   

DOI  :  10.1590/S0004-28032001000200008

来源: SciELO

【 摘 要 】

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.

【 授权许可】

CC BY-NC   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License