Medical thoracoscopy for the treatment of complicated hepatic hydrothorax
Author(s) -
Nikolaos A. Papakonstantinou,
Georgia Hardavella,
Gerasimos Papavasileiou,
Nikolaos Anastasiou
Publication year - 2012
Publication title -
journal of surgical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.14
H-Index - 3
ISSN - 2042-8812
DOI - 10.1093/jscr/2012.3.2
Subject(s) - medicine , thoracentesis , thoracoscopy , pleurodesis , hydrothorax , cirrhosis , empyema , surgery , pleural effusion , diaphragmatic breathing , chylothorax , cardiothoracic surgery , ascites , pathology , alternative medicine
Hepatic hydrothorax is a complication of liver cirrhosis. Several invasive therapeutic approaches have been performed such as thoracentesis, video-assisted thoracic surgery and repair of the diaphragmatic defects with debatable results. Medical thoracoscopy is a minimally invasive and effective technique with challenging applications that has not been thoroughly used in the treatment of hepatic hydrothorax. We hereby present the case of a hepatic hydrothorax complicated by thoracic empyema in a 38-year-old patient with alcoholic cirrhosis that was treated with medical thoracoscopy and talc pleurodesis.
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