• Tuberculosis and Respiratory Diseases
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• 제56권4호
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• pp.415-419
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• 2004

저자들은 좌측 흉수액을 주소로 내원한 63세 여자에서 전산화 단층촬영상 복수와 난소의 종양이 발견되어 조직검사상 난소의 양성섬유종으로 확인되었고, 난소종양의 수술적 제거 후 흉수와 복수가 소실되어 Meigs 증후군으로 진단한 1예를 경험하였기에 이를 보고하는 바이다.

• Journal of Yeungnam Medical Science
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• 제9권1호
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• pp.197-202
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• 1992

본원 산부인과에서 복부종물을 주소로 내원한 임신 17주 산모에서 동반된 난소섬유종을 발견하고, 임신중 수술로 종양을 제거함으로 복수와 흉수가 소실되었고, 정상임신을 유지하였던 Meigs' syndrome 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 대한핵의학회지
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• 제24권2호
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• pp.279-285
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• 1990

Simultaneous presence of ascites and pleural effusion has been documented in patients with cirrhosis of the liver, renal disease, Meigs' syndrome and in patients undergoing peritoneal dialysis. Mechanisms proposed in the formation of pleural effusion in most of the above diseases are lymphatic drainage and diaphragmatic defect. But sometimes, hepatic hydrothoraxes in the absence of clinical ascites and pleural effusion secondary to pulmonary or cardiac disease are noted. It is not always possible to differentiate between pleural effusion caused by transdiaphragmatic migration of ascites and by other causes based soly on biochemical analysis. Authors performed radionuclide scintigraphy after intraperitoneal administration of $^{99m}Tc-labeled$ colloid in 23 patients with both ascites and pleural effusion in order to discriminate causative mechanisms responsible for pleural effusion. Scintigraphy demonstrated the transdiaphragmatic flow of fluid from the peritoneum to pleural cavities in 13 patients correctly. In contrast, in 5 patients with pleural effusion secondary to pulmonary, pleural and cardiac diseases, radiotracers fail to traverse the diaphragm and localize in the pleural space. Ascites draining to mediastinal lymph nodes and blocked passage of lymphatic drainage were also clarified, additionaly. Conclusively, radionuclide peritoneal scintigraphy is an accurate, rapid and easy diagnostic tool in patients with both ascites and pleural effusion. It enables the causes of pleural effusion to be elucidated, as well as providing valuable information required when determining the appropriate therapy.