A Case of Hepatic Hydrothorax

간수흉 1예

  • Hong, In-Soo (Department of Diagnostic Radiology, Yonsei University Wonju College of Medicine) ;
  • Yang, Hak-Suk (Department of Diagnostic Radiology, Yonsei University Wonju College of Medicine) ;
  • Sung, Ki-Joon (Department of Diagnostic Radiology, Yonsei University Wonju College of Medicine) ;
  • Kim, Myung-Soon (Department of Diagnostic Radiology, Yonsei University Wonju College of Medicine)
  • 홍인수 (연세대학교 원주의과대학 진단방사선과학교실) ;
  • 양학석 (연세대학교 원주의과대학 진단방사선과학교실) ;
  • 성기준 (연세대학교 원주의과대학 진단방사선과학교실) ;
  • 김명순 (연세대학교 원주의과대학 진단방사선과학교실)
  • Published : 1992.12.31

Abstract

Hepatic hydrothorax is defined as the presence, in a cirrhotic patient, of a large pleural effusion in the absence of primary pulmonary or cardiac disease. Pleural effusions occur in 5% to 10% of patients with cirrhosis of the liver. The effusions are usually right-sided, but may be bilateral or left-sided. The precise mechanism of fluid accumulation is not clear. We reported a case of right hepatic hydrothorax occuring in the liver cirrhosis with ascites. Diagnosis was confirmed by the intraperitoneal and intrapleural injection of radioisotope $^{99m}Tc-tin$ colloid that demonstrated the one-way transdiaphragmatic flow of fluid from the peritoneal to pleural cavities.

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