Symptomatic hepatic hydrothorax successfully treated with transjugular intrahepatic portosystemic shunt (TIPS)–role of titration of portosystemic gradient reduction to avoid post‐TIPS encephalopathy

Clinical Case Reports

T. L. Krishnamoorthy¹  M. Taneja² 

[1] Department of Gastroenterology & Hepatology, Singapore General Hospital, Singapore, Singapore;Department of Interventional Radiology, Raffles Hospital, Singapore

关键词: Hepatic encephalopathy;    hepatic hydrothorax;    liver cirrhosis;    pleural effusion;    TIPS;   

DOI  :  10.1002/ccr3.70

来源: Wiley

【 摘 要 】

Key Clinical Message

We describe a challenging case of hepatic hydrothorax secondary to nonalcoholic steatohepatitis cirrhosis. Our management involved successfully treating the hydrothorax with a transjugular intrahepatic porto-systemic shunt but having to manage the subsequent complication of hepatic encephalopathy. We conclude with a review of the available literature.

【 授权许可】

CC BY-NC-ND   
© 2014 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.

Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.