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Updated: May 8, 2026

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
Hepatic hydrothorax in the absence of ascites
Kittiya Sukcharoen1, Steven Dixon, Kamarjit Mangat
1Department of General Surgery, Great Western Hospital, Swindon, Wilshire, UK.
Abstract:
A previously well 66-year-old woman presented with a recurrent transudative right-sided pleural effusion. A nodular liver with coarse echotexture was demonstrated on ultrasound and subsequent MRI found hepatocellular carcinoma. In the absence of cardiopulmonary disease and significant protein uria, the recurrent pleural effusion was presumed to be hepatic hydrothorax despite the absence of ascites or other clinical features of chronic liver disease. The patient is currently awaiting liver transplantation.
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