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La Clinica terapeutica · Jul 2005
Case Reports[Hydrothorax in absence of ascites: an unusual complication of hepatic cirrhosis with portal hypertension].
- F Rombolà, A Spinoso, F S Ranieri, A Bertuccio, A C Del Giudice, and S N Bertuccio.
- Dipartimento di Medicina, Struttura Complessa di Malattie Infettive e Malattie del Fegato, Ospedale di Vibo Valentia. rombolaf@libero.it
- Clin Ter. 2005 Jul 1; 156 (4): 179-81.
AimAuthors, describing a clinical case of hepatic hydrothorax in absence of ascites, analyse the disease physiopathology and their therapeutic options.Patients And MethodsCase report of a mixed aethiology (HCV and alcohol) hepatic cirrhosis, with pleural effusion, without ascites.ConclusionsHepatic hydrothorax without ascites is an uncommon complication of cirrhosis with portal hypertension. Treatment could be pharmacological, with diuretics administration, or operating. A simple and cheap method is thoracentesis. If hydrothorax relapses, most effective method is transjugular intrahepatic portosystemic shunt.
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