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Updated: Mar 9, 2026

Percutaneous Hepatic Perfusion PHP with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
Published on: July 31, 2016
Bilateral indwelling pleural catheter for hepatic hydrothorax
Rossella D'Amato1, Luisa E Eiroa González1, Ana Isabel Hernández Méndez1
1Pneumology Department, Hospital Universitario Nuestra Senora de la Candelaria, Santa Cruz de Tenerife, Spain.
Abstract:
A 68-year-old man with alcoholic liver cirrhosis and portal hypertension was admitted due to ascites. Bilateral severe hepatic hydrothorax did not resolve despite sodium restriction, and diuretic treatment, requiring repeated thoracentesis for relief of dyspnoea. Curative options, as transjugular intrahepatic portosystemic shunt and liver transplantation were both contraindicated. An attempt of pleurodesis was ineffective. Bilateral insertion of tunnelled pleural catheter allowed symptom control and home discharge. After 6 months, bilateral stable pleurodesis has been achieved and patient is still free from dyspnoea.
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