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Right diaphragmatic defect in hepatic hydrothorax exposed by contrast‐enhanced ultrasonography after radiofrequency ablation
Author(s) -
Matono Tomomitsu,
Koda Masahiko,
Murawaki Yoshikazu
Publication year - 2012
Publication title -
hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.488
H-Index - 361
eISSN - 1527-3350
pISSN - 0270-9139
DOI - 10.1002/hep.25860
Subject(s) - medicine , hydrothorax , ascites , diaphragmatic breathing , pleural effusion , cirrhosis , radiofrequency ablation , diaphragm (acoustics) , hepatology , thoracoscopy , radiology , effusion , ablation , pleural cavity , surgery , pathology , physics , alternative medicine , acoustics , loudspeaker
A 68‐year‐old male with liver cirrhosis and hepatocellular carcinoma treated by radiofrequency ablation was hospitalized for right hepatic hydrothorax and ascites. Perflubutane injected into the peritoneal cavity after an ultrasonography contrast agent revealed jet‐like flow from the ascites to a pleural effusion, indicating a diaphragmatic defect. A hepatic hydrothorax was sutured under thoracoscopy and did not recur. An intraperitoneal injection of perflubutane enables a less‐invasive diagnosis of a diaphragmatic defect. (H EPATOLOGY 2012;)