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Related Experiment Videos

[Hepatic hydrothorax].

S Bozkurt1, J Stein, G Teuber

  • 1Medizinische Klinik I-ZAFES, J.-W.-Goethe-Universität Frankfurt.

Zeitschrift Fur Gastroenterologie
|November 30, 2005
PubMed
Summary
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Hepatic hydrothorax, a rare liver cirrhosis complication, involves fluid in the chest. Transjugular intrahepatic portal systemic shunt (TIPS) offers effective treatment for refractory cases.

Area of Science:

  • Hepatology
  • Pulmonology
  • Gastroenterology

Context:

  • Hepatic hydrothorax is a rare complication of liver cirrhosis and portal hypertension.
  • It affects 5-10% of cirrhotic patients with ascites, involving fluid in the chest cavity.
  • The condition arises from fluid migration through diaphragmatic defects.

Purpose:

  • To outline the pathophysiology, clinical management, and treatment options for hepatic hydrothorax.
  • To differentiate hepatic hydrothorax from spontaneous bacterial empyema (SBEM).
  • To highlight the role of transjugular intrahepatic portal systemic shunt (TIPS) and liver transplantation.

Summary:

  • Hepatic hydrothorax involves transudative pleural effusion, distinct from exudative SBEM.
  • Management parallels ascites treatment; refractory cases require advanced interventions.

Related Experiment Videos

  • Spontaneous bacterial empyema (SBEM) affects up to 13% of patients and needs antibiotics.
  • Impact:

    • Transjugular intrahepatic portal systemic shunt (TIPS) placement is highly effective for refractory hepatic hydrothorax, with up to 80% response rates.
    • Liver transplantation is a definitive option for suitable patients.
    • TIPS can serve as a bridge therapy to liver transplantation.