• Title/Summary/Keyword: Hydrothorax

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Hydrothorax due to Migration of Ventriculoperitoneal Shunt Catheter

  • Kim, Hong-Ki;Seo, Eui-Kyo;Cho, Yong-Jae;Kim, Sang-Jin
    • Journal of Korean Neurosurgical Society
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    • v.43 no.3
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    • pp.159-161
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    • 2008
  • A cerebrospinal fluid hydrothorax is a very rare complication following ventriculoperitoneal (VP) shunt and usually reported in children. We report a case of 47-year-old woman who developed massive hydrothorax and respiratory distress following intrathoracic migration of distal shunt catheter. After the confirmation of catheter in thoracic cavity using radionuclide shuntogram, the patient was successfully treated with laparoscopic shunt catheter reposition.

Ovarian Hyperstimulation Syndrome with Minimal Ascites and Severe Hydrothorax Induced by Quintuplet Pregnancy (오태아 임신에 의해 유발된 경미한 복수와 중증 흉수의 난소과자극증후군)

  • Jung, Hee-Jung;Kim, Hoon;Kim, Young-Jin;Ku, Seung-Yup;Kim, Seok-Hyun;Choi, Young-Min;Kim, Jung-Gu;Moon, Shin-Young
    • Clinical and Experimental Reproductive Medicine
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    • v.36 no.2
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    • pp.137-142
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    • 2009
  • Ovarian hyperstimulation syndrome (OHSS) is one of the most common iatrogenic complications induced by assisted reproductive technology. Hydrothorax develops in about 10 percent of patients with severe OHSS and it is usually associated with marked ascites. On the other hand, severe hydrothorax without marked ascites is uncommon, and its pathogenesis remains unclear. We recently experienced a case of severe unilateral hydrothorax with minimal ascites induced by quintuplet pregnancy following intrauterine insemination with controlled ovarian hyperstimulation. Severe hydrothorax was resolved after only conservative and symptomatic management without invasive procedure such as thoracentesis or paracentesis. We report this case with brief review of literature.

A Case of Hepatic Hydrothorax (간수흉 1예)

  • Hong, In-Soo;Yang, Hak-Suk;Sung, Ki-Joon;Kim, Myung-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.26 no.2
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    • pp.392-395
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    • 1992
  • 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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Two Cases of Massive Hydrothorax Complicating Peritoneal Dialysis (CAPD중에 생긴 흉막삼출 2예)

  • Bae, Sang-Kyun;Yum, Ha-Yong;Rim, Hark
    • The Korean Journal of Nuclear Medicine
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    • v.28 no.1
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    • pp.153-156
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    • 1994
  • Massive hydrothorax complicating continuous ambulatory peritoneal dialysis (CAPD) is relatively rare. A 67-year-old male and a 23-year-old female patients during CAPD presented massive pleural effusion. They have been performing peritoneal dialysis due to end-stage renal disease for 8 months and 2 weeks respectively. We injected $^{99m}Tc$-labelled radiopharmaceutiral (phytate and MAA, respectively) into peritoneal cavity with the dialysate. The anterior, posterior and right lateral images were obtained. The studies reveal visible radioactivity in the right chest indicating the communication between the peritoneal and the pleural space. After sclerotherapy with tetracycline, the same studies reveal no radioactivity in the right chest suggesting successful therapy. We think nuclear imaging is a simple and noninvasive method for the differential diagnosis of pleural effusion in patients during CAPD and the evaluation of therapy.

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A Case of the Hepatic Hydrothorax in the Absence of Ascites Confirmed by Tc-99m Macroaggregated Serum Albumin Scan (Tc-99m MAA scan으로 증명된 복수를 동반하지 않은 간성수흉증 1예)

  • Chung, Jae-Ho;Seo, Hye-Sun;Park, Moo-Suk;Ko, Won-Ki;Lee, Sun-Min;Yang, Dong-Gyoo;Ahn, Chul-Min;Kim, Sung-Kyu;Lee, Won-Young
    • Tuberculosis and Respiratory Diseases
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    • v.50 no.1
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    • pp.117-121
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    • 2001
  • Pleural effusion due to hepatic cirrhosis with ascites is well known, although hepatic hydrothorax in the absence of ascites is a rare condition, the pathogenesis of which is still unknown. We report a case of hepatic hydrothorax without ascites confirmed by the intraperitoneal injection of Tc-99m mecroaggregated serum albumin (Tc-99m MAA) that demonstrated the passage of Tc-99m MAA into the right pleural cavity.

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A Case of Right Pleural Effusion in Liver Cirrhosis without Ascites (복수가 동반되지 않은 간경변증 환자에서 발생한 우측성 흉막액 저류 1예)

  • Yoon, Jin;Kim, Eung-Jin;Kim, Soon-Hye;Koh, Kwang-Kon;Kim, Moon-Jae;Chung, Won-Jae;Cho, Chul-Ho;Shin, Yong-Woon;Park, Chan-Sup
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.3
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    • pp.261-265
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    • 1992
  • Pleural effusion due to hepatic cirrhosis and ascites is well known. But rarely a pleural effusion may develop in a cirrhotic patient in the absence of detectable ascites. The differential diagnosis of a right-sided transudative pleural effusion in a patient with chronic liver disease with or without ascites includes congestive heart failure and nephrotic syndrome. These diseases are usually ruled out with standard clinical tests. Patients with hepatic hydrothorax should be treated with fluid restriction, diuretics and the correction of hypoalbuminemia. Patients with severe symptoms due to refractory hepatic hydrothorax might benefit from pleural sclerosis and surgical closure of diaphragmatic defect. We experienced a case of right-sided pleural effusion in liver cirrhosis without ascites.

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Perforation of azygos vein and right-sided hydrothorax caused by peripherally inserted central catheter in extremely low birth weight infant (초극소 저출생 체중아에서 중심 정맥 도관술로 발생한 홀정맥 파열과 우측 흉수증 1례)

  • Ha, Kee Soo;Shin, Jung Yeon;Hwang, Mi Jung;Choi, Young Ok;Shin, Dong Han;Jang, Gi Young;Choi, Byung Min;Yoo, Kee Hwan;Hong, Young Sook;Son, Chang Sung
    • Clinical and Experimental Pediatrics
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    • v.49 no.8
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    • pp.902-905
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    • 2006
  • We report a case in which routine chest roentgenograms of an 840 g infant led to the belief that the peripherally inserted central catheter (PICC) was appropriately positioned within the superior vena cava when, in actuality, it was within the azygous arch. Although many cases of pleural effusions have been reported to be caused by a central venous catheter, a right-sided hydrothorax caused by azygous vein rupture from the use of a PICC is an extremely rare complication. Sudden changes in the condition of a preterm infant with PICC should raise the suspicion of a catheter-related problem.

A Case of Meigs' Syndrome Occured in Pregnancy (임신과 동반된 Meigs' Syndrome 1례)

  • Cho, Dae-Hyun;Kim, Sang-Heon;Koh, Min-Whan;Lee, Tae-Hyung;Lee, Sung-Ho
    • Journal of Yeungnam Medical Science
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    • v.9 no.1
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    • pp.197-202
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    • 1992
  • Meigs' syndome consists of an ovarian fibroma, or fibroma-like benign tumor, associated with fluid in both abdomen and chest. Characteristically, the ascites and hydrothorax disappeared and do not recurred following removal of the ovarian tumor. The authors presented a case of Meigs' syndrome that was cured by surgical removal of ovarian tumor and resulted in normal pregnancy outcome in 27-year-old pregnant woman with a brief review of literatures.

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