Refractory hepatic hydrothorax treated with transjugular intrahepatic portosystemic shunt.
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Accession number;99A0327139
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| Title;Refractory hepatic hydrothorax treated with transjugular intrahepatic portosystemic shunt. |
| Author;
DEGAWA M
(Nagasaki Univ. School Of Medicine, Nagasaki, Jpn)
HAMASAKI K
(Nagasaki Univ. School Of Medicine, Nagasaki, Jpn)
YANO K
(Nagasaki Univ. School Of Medicine, Nagasaki, Jpn)
NAKAO K
(Nagasaki Univ. School Of Medicine, Nagasaki, Jpn)
KATO Y
(Nagasaki Univ. School Of Medicine, Nagasaki, Jpn)
SAKAMOTO I
(Nagasaki Univ. School Of Medicine, Nagasaki, Jpn)
NAKATA K
(Nagasaki Univ. School Of Medicine, Nagasaki, Jpn)
EGUCHI K
(Nagasaki Univ. School Of Medicine, Nagasaki, Jpn)
MITAMURA K
(Showa Univ. School Of Medicine, Tokyo, Jpn)
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Journal Title;J Gastroenterol
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Journal Code:Z0748A
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ISSN:0944-1174
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VOL.34;NO.1;PAGE.128-131,154-156(1999)
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| Figure&Table&Reference;FIG.3, REF.26 |
| Pub. Country;Japan |
| Language;English |
| Abstract;A 66-year-old cirrhotic woman was referred to our hospital for evaluation of refractory pleural effusion and dyspnea. Massive right sided-pleural effusion but no ascites was detected. She had been treated with diuretics and albumin, repeated thoracenteses, and pleural drainage with an intercostal catheter, all of which had failed to relieve her symptoms. The diagnosis of hepatic hydrothorax without ascites was made by injection of technetium-99 m-sulfur colloid into the peritoneal cavity. A transjugular intrahepatic portosystemic shunt was placed and successfully reduced the pleural effusion, resulting in complete relief of her symptoms. The patient has been free of symptoms for 18 months after the procedure. (author abst.) |
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