Pleural Effusions Due to Diseases Below the Diaphragm

Lorch, Daniel; Sahn, Steven A.

doi:10.1055/s-2007-1012691

Cited by 10 publications

(1 citation statement)

References 48 publications

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“…Diagnosis must be confirmed either by ultrasonography or abdominal CT because, if it is not established, mortality is very high. Nearly a third of pancreatic abscesses co-occur with PE [ 105 ]. Management consists of surgical drainage.…”

Section: Pancreatic Diseasesmentioning

confidence: 99%

Pleural effusion due to nonmalignant gastrointestinal disease

et al. 2022

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Although pleural effusion is a frequent finding in clinical practice, determining its etiology may be challenging, and up to 20% of cases remain undiagnosed. Pleural effusion may occur secondary to a non-malignant gastrointestinal disease. A gastrointestinal origin is confirmed based on a review of the medical history of the patient, and thorough physical examination and abdominal ultrasonography. In this process, it is crucial to correctly interpret findings on pleural fluid obtained by thoracentesis. In the absence of high clinical suspicion, identifying the etiology of this type of effusion may be difficult. Clinical symptoms will be determined by the gastrointestinal process causing PE. In this setting, correct diagnosis relies on the specialist's ability to associate pleural fluid appearance, test for the appropriate biochemical parameters, and determine whether it is necessary or not to send a specimen for culture. The established diagnosis will determine how pleural effusion is approached. Although this clinical condition is self-limited, many cases will require a multidisciplinary approach, as some effusions only resolved with specific therapies.

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Section: Pancreatic Diseasesmentioning

confidence: 99%

Pleural effusion due to nonmalignant gastrointestinal disease

et al. 2022

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Pleural Complications in the Intensive Care Unit

Strange

1999

Clinics in Chest Medicine

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The Art of Pleural Fluid Analysis

Sahn

Huggins

José³

et al. 2013

Clinical Pulmonary Medicine

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Although a pleural effusion (PE) is a common condition in clinical practice (with a prevalence of slightly > 400 patients/100,000), a definitive diagnosis is not established in approximately 20% of cases. In the classic publications, thoracentesis provided a definitive or presumptive diagnosis in 73% of cases, although it is estimated that today this percentage could reach 95%. An undiagnosed PE is defined as one that remains of unknown origin after performing complete pleural fluid analysis (nucleated cell counts with differential diagnosis, biochemistry, culture, cytology, and flow cytometry). The aim of this paper is to review the difficulties that may be encountered when attempting to establish the cause of a PE. The reason for this diagnostic dilemma may be an atypical clinical or radiologic presentation or falsepositive or false-negative results. Furthermore, the limited frequency of some PEs is often not considered when determining the differential diagnosis.

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Pleural Effusions Due to Diseases Below the Diaphragm

Cited by 10 publications

References 48 publications

Pleural effusion due to nonmalignant gastrointestinal disease

Pleural effusion due to nonmalignant gastrointestinal disease

Pleural Complications in the Intensive Care Unit

The Art of Pleural Fluid Analysis

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