1. An unusual presentation of cirrhotic pleural effusion in a patient with no ascites: a case report
- Author
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Manju Paul, Savio John, and Uma K. Murthy
- Subjects
Medicine(all) ,medicine.medical_specialty ,Cirrhosis ,business.industry ,Pleural effusion ,Diaphragmatic breathing ,General Medicine ,respiratory system ,medicine.disease ,Gastroenterology ,respiratory tract diseases ,Surgery ,Pathogenesis ,Internal medicine ,Case report ,Ascites ,medicine ,Portal hypertension ,medicine.symptom ,Presentation (obstetrics) ,business ,Cardiopulmonary disease - Abstract
Pleural effusion that develops in a patient with cirrhosis and portal hypertension, in the absence of cardiopulmonary disease, is termed hepatic hydrothorax. Hepatic hydrothorax very rarely presents in the absence of ascites. Although the exact mechanism is somewhat controversial, pleural effusion occurs when ascitic fluid moves through diaphragmatic defects which are opened up by increased intra-abdominal pressure. We report a case report of cirrhotic pleural effusion in a patient with no clinical or radiographic evidence of ascites and discuss the pathogenesis, diagnosis and management of this condition.
- Published
- 2009