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Chemical diaphragmoplasty and pleurodesis by videotoracoscopy as a surgical treatment in a patient with liver hydrothorax

Rodríguez-Blanco, José Antonio1; Acevedo-Pérez, Yulieth1; Rodríguez-Blanco, Jonathan1; Remolina-Medina, Carlos1





2021, Number 1

2021; 80 (1)






ABSTRACT

Hepatic hydrothorax is a difficult diagnosis pathology, of which very little is known due to its low incidence. Next, we will present a clinical case of a patient with a hepatic hydrothorax, where surgical treatment with diaphragmoplasty plus chemical pleurodesis by videothoracoscopy was considered as an alternative, due to its low adherence to medical treatment, presenting recurrences of the hydrothorax and frequent hospitalizations. This surgery is presented as an alternative with good results for an important period of time, improving the quality of life of the patient

KEYWORDS

Hydrothorax hepatic, diaphragmoplasty, videothoracoscopy.

REFERENCES

  1. Porcel JM, Light RW. Pleural effusions. Dis Mon. 2013;59(2):29-57. https://doi.org/10.1016/j.disamonth.2012.11.002

  2. Porcel JM, Mas E, Reñé JM, Bielsa S. Hidrotórax de causa hepática: análisis de 77 pacientes. Med Clin. 2013;141(11):484-486. https://doi.org/10.1016/j.medcli.2013.06.017.

  3. Jiang SJ, Zhang S, Su LL, Liu Y. Diagnostic and therapeutic value of thoracoscopy for pleural effusions: experience from 628 consecutive cases in China. Chin Med J (Engl). 2009;122(10):1227-1230.

  4. Cardenas A, Kelleher T, Chopra S. Review article: hepatic hydrothorax. Aliment Pharmacol Ther. 2004;20(3):271-279. https://doi.org/10.1111/j.1365-2036.2004.02081.x.

  5. Kinasewitz GT, Keddissi JI. Hepatic hydrothorax. Curr Opin Pulm Med. 2003;9(4):261-265. https://doi.org/10.1097/00063198-200307000-00003.

  6. Badillo R, Rockey DC. Hepatic hydrothorax: clinical features, management, and outcomes in 77 patients and review of the literature. Medicine (Baltimore). 2014;93(3):135-142. https://doi.org/10.1097/md.0000000000000025.

  7. Huang PM, Chang YL, Yang CY, Lee YC. The morphology of diaphragmatic defects in hepatic hydrothorax: thoracoscopic finding. J Thorac Cardiovasc Surg. 2005;130(1):141-145. https://doi.org/10.1016/j.jtcvs.2004.08.051.

  8. Lieberman FL, Hidemura R, Peters RL, Reynolds TB. Pathogenesis and treatment of hydrothorax complicating cirrhosis with ascites. Ann Intern Med. 1966;64(2):341-351. https://doi.org/10.7326/0003-4819-64-2-341.

  9. Emerson PA, Davies JH. Hydrothorax complicating ascites. Lancet. 1955;268(6862):487-488. https://doi.org/10.1016/s0140-6736(55)90269-5.

  10. Mouroux J, Perrin C, Venissac N, Blaive B, Richelme H. Management of pleural effusion of cirrhotic origin. Chest. 1996;109(4):1093-1096. https://doi.org/10.1378/chest.109.4.1093.

  11. Chen A, Ho YS, Tu YC, Tang HS, Cheng TC. Diaphragmatic defect as a cause of massive hydrothorax in cirrhosis of liver. J Clin Gastroenterol. 1988;10(6):663-666. https://doi.org/10.1097/00004836-198812000-00019.

  12. Zenda T, Miyamoto S, Murata S, Mabuchi H. Detection of diaphragmatic defect as the cause of severe hepatic hydrothorax with magnetic resonance imaging. Am J Gastroenterol. 1998;93(11):2288-2289. https://doi.org/10.1111/j.1572-0241.1998.00639.x.

  13. Lazaridis KN, Frank JW, Krowka MJ, Kamath PS. Hepatic hydrothorax: pathogenesis, diagnosis, and management. Am J Med. 1999;107(3):262-267. https://doi.org/10.1016/s0002-9343(99)00217-x.

  14. Alagiakrishnan K, Patel PJ. Left-sided hepatic hydrothorax with ascites. Int J Clin Pract. 1999;53(3):225-226.

  15. Rubinstein D, McInnes IE, Dudley FJ. Hepatic hydrothorax in the absence of clinical ascites: diagnosis and management. Gastroenterology. 1985;88(1 Pt 1):188-191. https://doi.org/10.1016/s0016-5085(85)80154-2.

  16. Singer JA, Kaplan MM, Katz RL. Cirrhotic pleural effusion in the absence of ascites. Gastroenterology. 1977;73(3):575-577.

  17. Kirsch CM, Chui DW, Yenokida GG, Jensen WA, Bascom PB. Case report: hepatic hydrothorax without ascites. Am J Med Sci. 1991;302(2):103-106. https://doi.org/10.1097/00000441-199108000-00007.

  18. Singh A, Bajwa A, Shujaat A. Evidence-based review of the management of hepatic hydrothorax. Respiration. 2013;86(2):155-173. https://doi.org/10.1159/000346996.

  19. Borchardt J, Smirnov A, Metchnik L, Malnick S. Treating hepatic hydrothorax. BMJ. 2003;326(7392):751-752. https://doi.org/10.1136/bmj.326.7392.751.

  20. Liu LU, Haddadin HA, Bodian CA, Sigal SH, Korman JD, Bodenheimer HC Jr, et al. Outcome analysis of cirrhotic patients undergoing chest tube placement. Chest. 2004;126(1):142-148. https://doi.org/10.1378/chest.126.1.142.

  21. Orman ES, Lok AS. Outcomes of patients with chest tube insertion for hepatic hydrothorax. Hepatol Int. 2009;3(4):582-586. https://doi.org/10.1007/s12072-009-9136-z.


2021, Number 1

2021; 80 (1)