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Symptomatic hepatic hydrothorax successfully treated with transjugular intrahepatic portosystemic shunt (TIPS)–role of titration of portosystemic gradient reduction to avoid post‐TIPS encephalopathy
Author(s) -
Krishnamoorthy T. L.,
Taneja M.,
Chang P. E.
Publication year - 2014
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.70
Subject(s) - medicine , transjugular intrahepatic portosystemic shunt , hydrothorax , cirrhosis , hepatic encephalopathy , portal hypertension , radiology , hepatorenal syndrome , portosystemic shunt , complication , ascites , gastroenterology
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.