Matches in SemOpenAlex for { <https://semopenalex.org/work/W2921317660> ?p ?o ?g. }
Showing items 1 to 67 of
67
with 100 items per page.
- W2921317660 endingPage "S268" @default.
- W2921317660 startingPage "S267" @default.
- W2921317660 abstract "Purpose: Hepatic hydrothorax is the presence of pleural fluid (>500 ml) in a cirrhotic patient without any underlying cardiopulmonary disease. We report a case of a 72-year-old Caucasian male with history of alcohol abuse who presented with hepatic hydrothorax without any ascites. The patient was brought to the ER with progressively worsening dyspnea and bilateral leg swelling for two weeks. Physical examination was remarkable for hepatosplenomegaly without any fluid thrill or shifting dullness, and pedal edema. CT Abdomen/Thorax showed large right-sided pleural effusion, cirrhosis of the liver without any ascites or lung disease. Echocardiogram showed a normal LVEF. The patient was admitted to medical ICU, started on a 2 g Na diet, diuretics, and a large volume thoracocentesis was performed. Pleural fluid revealed a low protein (<2.5 g/dL) effusion with serum-pleural albumin gradient (SPAG) > 1.1 suggestive of hepatic hydrothorax. On day 3, the patient developed acute respiratory distress requiring intubation and emergent placement of a chest tube. CXR showed complete opacification of the right hemithorax with massive pleural effusion (Figure 1). Despite aggressive diuresis, chest tube persistently drained large amounts of pleural fluid and could not be removed. An octreotide drip was then started to decrease the portal hypertension and pleural effusion. Subsequent serial radiographs showed decreasing pleural effusion (Figure 2) facilitating tube removal on day 7 and extubation on day 8. Although hepatic hydrothorax is often seen in association with ascites, our patient had an unusual presentation without any ascites. Moreover, chest tube placement must be avoided as it may be associated with the development of a peritoneal-pleural fistula and persistent drainage delaying the tube removal. Beneficial effects of octreotide have been reported (three-five cases in literature) in facilitating tube removal by decreasing the portal hypertension and subsequently the pleural effusion, as was the case with our patient.FigureFigure: [740]" @default.
- W2921317660 created "2019-03-22" @default.
- W2921317660 creator A5009490967 @default.
- W2921317660 creator A5010206315 @default.
- W2921317660 creator A5033745812 @default.
- W2921317660 creator A5042105308 @default.
- W2921317660 creator A5051811974 @default.
- W2921317660 creator A5071898803 @default.
- W2921317660 date "2010-10-01" @default.
- W2921317660 modified "2023-09-26" @default.
- W2921317660 title "Hepatic Hydrothorax without Ascites Successfully Treated with Octreotide Infusion" @default.
- W2921317660 doi "https://doi.org/10.14309/00000434-201010001-00740" @default.
- W2921317660 hasPublicationYear "2010" @default.
- W2921317660 type Work @default.
- W2921317660 sameAs 2921317660 @default.
- W2921317660 citedByCount "0" @default.
- W2921317660 crossrefType "journal-article" @default.
- W2921317660 hasAuthorship W2921317660A5009490967 @default.
- W2921317660 hasAuthorship W2921317660A5010206315 @default.
- W2921317660 hasAuthorship W2921317660A5033745812 @default.
- W2921317660 hasAuthorship W2921317660A5042105308 @default.
- W2921317660 hasAuthorship W2921317660A5051811974 @default.
- W2921317660 hasAuthorship W2921317660A5071898803 @default.
- W2921317660 hasConcept C126322002 @default.
- W2921317660 hasConcept C126838900 @default.
- W2921317660 hasConcept C141071460 @default.
- W2921317660 hasConcept C2777063151 @default.
- W2921317660 hasConcept C2777214474 @default.
- W2921317660 hasConcept C2778329176 @default.
- W2921317660 hasConcept C2778400160 @default.
- W2921317660 hasConcept C2779134260 @default.
- W2921317660 hasConcept C2779440204 @default.
- W2921317660 hasConcept C2779634585 @default.
- W2921317660 hasConcept C2780496750 @default.
- W2921317660 hasConcept C71924100 @default.
- W2921317660 hasConceptScore W2921317660C126322002 @default.
- W2921317660 hasConceptScore W2921317660C126838900 @default.
- W2921317660 hasConceptScore W2921317660C141071460 @default.
- W2921317660 hasConceptScore W2921317660C2777063151 @default.
- W2921317660 hasConceptScore W2921317660C2777214474 @default.
- W2921317660 hasConceptScore W2921317660C2778329176 @default.
- W2921317660 hasConceptScore W2921317660C2778400160 @default.
- W2921317660 hasConceptScore W2921317660C2779134260 @default.
- W2921317660 hasConceptScore W2921317660C2779440204 @default.
- W2921317660 hasConceptScore W2921317660C2779634585 @default.
- W2921317660 hasConceptScore W2921317660C2780496750 @default.
- W2921317660 hasConceptScore W2921317660C71924100 @default.
- W2921317660 hasLocation W29213176601 @default.
- W2921317660 hasOpenAccess W2921317660 @default.
- W2921317660 hasPrimaryLocation W29213176601 @default.
- W2921317660 hasRelatedWork W1986199175 @default.
- W2921317660 hasRelatedWork W1988227249 @default.
- W2921317660 hasRelatedWork W2048788310 @default.
- W2921317660 hasRelatedWork W2184294459 @default.
- W2921317660 hasRelatedWork W2406884535 @default.
- W2921317660 hasRelatedWork W24645150 @default.
- W2921317660 hasRelatedWork W2957015760 @default.
- W2921317660 hasRelatedWork W2991029108 @default.
- W2921317660 hasRelatedWork W4290000629 @default.
- W2921317660 hasRelatedWork W4365815022 @default.
- W2921317660 hasVolume "105" @default.
- W2921317660 isParatext "false" @default.
- W2921317660 isRetracted "false" @default.
- W2921317660 magId "2921317660" @default.
- W2921317660 workType "article" @default.