A Case of the Hepatogenic Hydrothorax That Art of Pleurodesis Succeeded by CPAP Combination

Yamamoto, Miake; Miyashita, Mamiko; Okamoto, Syouichi; Kitazono, Miyako; Murata, Ken‐ichiro; Wada, Akihiko; Takamori, Mikio

doi:10.2169/naika.104.590

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2022

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“…Saito et al reported two cases of intractable hepatic hydrothorax successfully treated with nasal CPAP [5] . In 2015, Yamamoto et al described a case of refractory hepatic hydrothorax that improved with a combination of thoracocentesis and CPAP [6] . The mechanism underlying the improvement in these patients may have been the intrathoracic positive pressure induced by CPAP.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intractable Hepatic Hydrothorax: A Successful Outcome following CPAP Treatment

Attout¹,

Samaan²,

Bouhamla³

et al. 2022

European Journal of Case Reports in Internal Medicine

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Hepatic hydrothorax is an uncommon complication in patients with end-stage liver disease. It may result in dyspnoea, hypoxia and infection, and carries a poor prognosis. Initial treatment is based on a sodium-free diet together with diuretics. In case of recurrent hydrothorax, a transjugular intrahepatic portosystemic shunt (TIPS) or liver transplant should be considered. Here we describe an 80-year-old woman with decompensated liver cirrhosis related to NASH who presented with refractory hepatic hydrothorax. Treatment with CPAP resulted in a marked improvement in her pleural effusion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%