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Hepatopleural Fistula with Empyema Thoracis: A Rare Complication of Autosomal Dominant Polycystic Kidney Disease
Author(s) -
Jeerawat Maytapa,
Kessarin Thanapirom,
Sombat Treeprasertsuk,
Piyawat Komolmit,
Bundit Chaopathomkul,
Pinit Kullavanijaya
Publication year - 2018
Publication title -
acg case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.112
H-Index - 4
ISSN - 2326-3253
DOI - 10.14309/crj.2018.2
Subject(s) - medicine , autosomal dominant polycystic kidney disease , thoracotomy , complication , empyema , surgery , polycystic kidney disease , percutaneous , fistula , cyst , radiology , disease
We report a 70-year-old man with autosomal dominant polycystic kidney disease (ADPKD) who presented with right-sided extended-spectrum beta-lactamases empyema thoracis. Chest and abdominal computed tomography showed hepatopleural fistula. The patient refused a surgical operation and was treated with tube thoracotomy, percutaneous drainage of dominant liver cyst, and intravenous antibiotics. His symptoms improved after 2 months of nonsurgical treatment.

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