Portal de Periódicos da CAPES

Pathogenesis and Treatment of Hydrothorax Complicating Cirrhosis with Ascites

1966; American College of Physicians; Volume: 64; Issue: 2 Linguagem: Inglês

10.7326/0003-4819-64-2-341

1539-3704

Fred L. Lieberman,

Pleural and Pulmonary Diseases

Article1 February 1966Pathogenesis and Treatment of Hydrothorax Complicating Cirrhosis with AscitesFRED L. LIEBERMAN, M.D., RYUGO HIDEMURA, M.D., ROBERT L. PETERS, M.D., TELFER B. REYNOLDS, M.D., F.A.C.P.FRED L. LIEBERMAN, M.D., RYUGO HIDEMURA, M.D., ROBERT L. PETERS, M.D., TELFER B. REYNOLDS, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-64-2-341 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptHydrothorax has long been recognized as a complication of cirrhosis, but there has been much speculation as to its origin. Higgins and his colleagues (1) suggested it forms from the plasma as a result of hypoalbuminemia and a decreased colloid osmotic pressure. Morrow, Kanter, and Armen (2) considered leakage of plasma from a hypertensive azygous venous system as being a possible cause. Eisenmenger (3) has suggested it may be lymph leaking from a thoracic duct system overburdened by ascites reabsorption. All investigators agree, however, that it is associated with the presence of ascites, and isolated case studies have provided evidence...References1. HIGGINSKELSALLO'BRIENSTEWARTWITTS GARJRAMLJ: Ascites in chronic disease of the liver. Quart. J. Med. 16: 263, 1947. MedlineGoogle Scholar2. MORROWKANTERARMEN CSMRN: Hepatic hydrothorax. Ann. Intern. Med. 49: 193, 1958. LinkGoogle Scholar3. EISENMENGER WJ: Part VII, Edema associated with liver disease, in Edema Mechanisms and Management; a Hahnemann symposium on salt and water retention, edited by MOYER, J. H., FUCHS, M. W. B. Saunders Co., Philadelphia, 1960, pp. 626-627. Google Scholar4. EMERSONDAVIES PAJH: Hydrothorax complicating ascites. Lancet 268: 487, 1955. CrossrefMedlineGoogle Scholar5. JOHNSTONLOO RFRV: Hepatic hydrothorax: studies to determine the source of the fluid and report of thirteen cases. Ann. Intern. Med. 61: 385, 1964. LinkGoogle Scholar6. MEIGSARMSTRONGHAMILTON JVSHHH: A further contribution to the syndrome of fibroma of the ovary with fluid in the abdomen and chest, Meigs' syndrome. Amer. J. Obstet. Gynec. 46: 19, 1943. CrossrefGoogle Scholar7. MCKAYSPARLINGROBBINS DGHSSL: Cirrhosis of the liver with massive hydrothorax. Arch. Intern. Med. (Chicago) 79: 501, 1947. CrossrefGoogle Scholar8. COURTICESTEINBECK FCAW: The lymphatic drainage of plasma from the peritoneal cavity of the cat. Aust. J. Exp. Biol. Med. Sci. 28: 161, 1950. CrossrefMedlineGoogle Scholar9. ABDOUREINHARDTTARVER IAWOH: Plasma protein III. The equilibrium between blood and lymph protein. J. Biol. Chem. 194: 15, 1952. CrossrefMedlineGoogle Scholar10. DUMONTMULHOLLAND AEJH: Flow rate and composition of thoracic duct-lymph in patients with cirrhosis. New Eng. J. Med. 263: 471, 1960. CrossrefMedlineGoogle Scholar11. CROFTS NF: Pneumothorax complicating therapeutic pneumoperitoneum. Thorax 9: 226, 1954. CrossrefMedlineGoogle Scholar12. ROSSFARBER JJE: Right sided spontaneous pneumothorax complicating therapeutic pneumoperitoneum. Amer. Rev. Tuberc. 63: 67, 1951. Google Scholar13. YANNITELLIWOODRUFFMUELLERHOWARD SACEEEWL: Fatal tension pneumothorax resulting from diaphragmatic rupture in a patient receiving pneumoperitoneum. Amer. Rev. Tuberc. 60: 794, 1949. Google Scholar14. LAIRD R: Comments on total thoracoscopy. Tubercle 26: 149, 1945. CrossrefMedlineGoogle Scholar15. CHRISTIAN HA: Bloody pleural fluid, an unusual complication of cirrhosis of the liver. Ann. Intern. Med. 10: 1621, 1937. LinkGoogle Scholar16. FROTHINGHAM JR: Cirrhosis of the liver complicated by persistent right hydrothorax and ascites. New Eng. J Med. 226: 679, 1942. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Los Angeles, CaliforniaFrom the Hepatic Service of the John Wesley County Hospital and the University of Southern California School of Medicine, Los Angeles, Calif.This study was supported in part by research grant HE 09316 from the National Institutes of Health, Bethesda, Md.Requests for reprints should be addressed to Telfer B. Reynolds, M.D., Department of Medicine, University of Southern California School of Medicine, 2025 Zonal Ave., Los Angeles, Calif. 90033. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByPleural Effusion: Hepatic HydrothoraxNoninfectious Complications of Peritoneal DialysisPlastía diafragmática y pleurodesis química por videotoracoscopia: una alternativa como tratamiento quirúrgico en paciente con hidrotórax hepáticoA rare case of nephrotic syndrome with chylothoraxPleuroperitoneal communication after bacterial peritonitis and total gastrectomy for gastric neuroendocrine tumors: a case report and brief literature reviewPleural Effusion after Hepatic Radiofrequency Ablation with Artificial Ascites: Clinical Spectrum and SignificancePulmonary complications in patients with liver cirrhosisA case of pleuroperitoneal communication caused by ascites due to portal vein thrombosis successfully treated by video-assisted thoracoscopic surgery (VATS) using a stapler with polyglycolic acid (PGA) sheetNonmalignant pleural effusions: are they as benign as we think?Folgen der Zirrhose und die FunktionseinschränkungenVideothoracoscopic closure of pleuroperitoneal communication with hepatic hydrothorax preoperatively detected using contrast-enhanced ultrasonographyPulmonary Complications of Portal HypertensionAcute tension hydrothorax in chronic liver disease secondary to spontaneous diaphragmatic ruptureTransjugular intrahepatic portosystemic shunt (TIPS) placement: A comparison of outcomes between patients with hepatic hydrothorax and patients with refractory ascitesAscitesComplication of PD (Except Infection)Ascites and HyponatremiaPulmonary Complications of Liver Cirrhosis: A Concise ReviewHydrothorax hépatiqueHepatic Hydrothorax: Diagnosis, Clinical Implications, and ManagementThe management of benign non-infective pleural effusionsHepatic hydrothorax: clinical review and update on consensus guidelinesIndwelling Tunneled Pleural Catheters for the Management of Hepatic Hydrothorax. A Pilot StudyManagement of Complications of End-Stage Liver Disease in the Intensive Care UnitPleural EffusionAscites and Its ComplicationsContemporary Perspectives on the Pathophysiology and Management of Hepatic HydrothoraxTransjugular intrahepatic portosystemic stent shunt for medically refractory hepatic hydrothorax: A systematic review and cumulative meta-analysisHepatic hydrothorax: Current conceptsHepatic HydrothoraxHepatic HydrothoraxA Case of Hydrothorax Aggravated by Peritoneal Dialysate Leakage in Compensated Liver Cirrhosis Patient with AscitesCauses and Management of Common Benign Pleural EffusionsAnatomy and Pathophysiology of the Pleura and Pleural SpaceA fascinating presentation of hepatic hydrothoraxHepatic hydrothorax after blunt chest traumaÉpanchement pleural et insuffisance respiratoire aiguë au décours d'un traumatisme chez une patiente cirrhotiqueAscitesTension HydrothoraxClinical Manifestations of Portal HypertensionA Large Pleural Effusion in a Patient Receiving Peritoneal DialysisPleural Fluid Analysis and Radiographic, Sonographic, and Echocardiographic Characteristics of Hepatic HydrothoraxPleural effusions occurring with right heart failureAscitesPleural Disease and PneumothoraxImpact of Therapeutic Interventions on Survival of Patients With Hepatic HydrothoraxDer hepatische HydrothoraxThe impact of preoperative hepatic hydrothorax on the outcome of adult liver transplantationPleura and pleural disordersThoracentesisPleural EffusionA case of recurrent hydrothorax complicating continuous ambulatory peritoneal dialysis after video -assisted thoracoscopic surgeryHepatic hydrothorax: current approaches to diagnosis and therapyNoninfectious Complications of Peritoneal DialysisPneumothorax de la femme et endométriose thoraciqueHepatic hydrothorax: Current concepts of pathophysiology and treatment optionsClinical Pattern of Cirrhotic Ascities in the State of QatarAbnormalities of the Pleural SpaceEndométriose thoraciqueA case report of hepatic hydrothorax diagnosed by color Doppler ultrasonographyHepatic hydrothorax with moderate ascitis in a NigerianHepatic hydrothorax: Pathophysiology diagnosis and managementClinical spectrum of tuberculous pleural effusion in childrenPleural Effusions of Extravascular OriginDoxycycline Pleurodesis in Hepatic HydrothoraxAscitesTension pneumothorax from a perforated gastric ulcerTreatment of pleural effusion of cirrhotic origin by videothoracoscopyHepatic hydrothoraxTransdiaphragmatic peritoneal hernia complicating peritoneal dialysis: demonstration with spiral computed tomography peritoneography and peritoneal scintigraphyThe morphology of diaphragmatic defects in hepatic hydrothorax: Thoracoscopic findingChylothorax in Henoch-Schonlein purpura: A case report and review of the literatureCatamenial PneumothoraxEstudo prospectivo do derrame pleural pós-cirurgia abdominal e dos fatores de risco associados: avalição por ultra-sonografiaAnomalies pulmonaires au cours des maladies hépatiquesAscitesPretransplantation Evaluation: Pulmonary, Cardiac, and RenalAnomalies pulmonaires au cours des maladies hépatiquesHepatic Hydrothorax in the Absence of Ascites: Respiratory Failure in a Cirrhotic PatientHepatic hydrothoraxHepatic hydrothorax - pathophysiology, diagnosis and treatment - review of the literaturePrise en charge d'un hydrothorax hépatiqueIsotopic exploration of hepatic hydrothorax: ten casesPrise en charge d'un hydrothoraxPrise en charge d'un hydrothorax hépatiqueLarge diaphragmatic defect as the cause of hydrothorax in a cirrhotic patient: demonstration with peritoneal scintigraphy and magnetic resonance imagingAnatomy of the PleuraHepatic HydrothoraxHepatic Hydrothorax in the Absence of Ascites Diagnosed by Intraperitoneal Spraying of Indocyanine GreenHepatic hydrothoraxPeritoneal Scintigraphy in the Diagnosis of Complications Associated with Continuous Ambulatory Peritoneal DialysisVideo-Assisted Thoracoscopic Surgery With Talc Pleurodesis in the Management of Symptomatic Hepatic HydrothoraxAcute Tension Hydrothorax: A Life-Threatening Complication of CirrhosisSafety and Efficacy of Transjugular Intrahepatic Portosystemic Shunt Creation for the Treatment of Hepatic HydrothoraxDerivación portosistémica percutánea intrahepática como tratamiento del hidrotórax hepático refractarioDiagnosis of Hepatic Hydrothorax by Tc-99m Sulfur Colloid Peritoneal ScintigraphyHydrothorax: an unexpected complication after laparoscopic myomectomyMANAGEMENT OF ASCITESRadioisotope scintigraphy in the diagnosis of hepatic hydrothoraxPleura: Anatomy, Physiology, and DisordersThe Diagnosis of Peritoneo-Pleural Communication with Tc-99m MAA Scintigraphy in the Absence of AscitesHepatobiliary and pancreatic: CommentaryPleural Disease in the Intensive Care UnitTransjugular intrahepatic portosystemic shunt for recurrent hepatic hydrothoraxASCITESAutomated peritoneal dialysisNon-infectious complications of peritoneal dialysisValoración diagnóstica del derrame pleuralTreatment of a Right-Sided Pleural Effusion in a Patient With Liver CirrhosisHepatic hydrothorax: pathogenesis, diagnosis, and managementA successful surgical repair of the hepatic hydrothorax using pneumoperitoneum: Report of a caseIsolated pleural effusion in severe ovarian hyperstimulation: A case reportDetection of diaphragmatic defect as the cause of severe hepatic hydrothorax with magnetic resonance imagingTransjugular intrahepatic portosystemic shunts and liver transplantation in patients with refractory hepatic hydrothoraxChylothorax in Cirrhosis of the LiverHepatic hydrothorax in the absence of ascitesThe Use of the Diagnostic Radionuclide Ascites Scan to Facilitate Treatment Decisions for Hepatic HydrothoraxHydrothorax in Peritoneal DialysisEvaluation of Pleural Fluid in Patients With CirrhosisAcute Massive Postoperative Pleural Effusion Associated With Asymptomatic Hepatitis C-Induced Cirrhosis of the LiverSpontaneous neutrocytic hepatic hydrothorax without ascitesTransjugular Intrahepatic Portosystemic Shunt for the Management of Hepatic Hydrothorax in the Absence of AscitesManagement of Pleural Effusion of Cirrhotic OriginThoracic endometriosis syndrome: New observations from an analysis of 110 casesPeritoneal-Pleural Communications in Hepatic Hydrothorax Demonstrated by ThoracoscopyHepatic HydrothoraxPreventing Hernias and Leaks in Long-Term Patients on Peritoneal DialysisPathophysiology of the Pleural SpaceContinuous ambulatory peritoneal dialysisNoninfectious complications of peritoneal dialysisTransdiaphragmatic leakage of ascites in cirrhotic patients: Evaluation with ultrafast gradient echo MR imaging and intraperitoneal contrast enhancementPleural diseasesA Case of Hepatic Hydrothorax Due to a Large Diaphragmatic DefectHepatobiliary disease: Medical emergenciesCase Report:Hepatic Hydrothorax Without AscitesPleural Complications in End-Stage Renal DiseaseHepatic Hydrothorax without Ascites: A Rare Form of a Common ComplicationSpontaneous bacterial empyema in cirrhotic patients: Analysis of eleven casesLeakage of Dialysate across the DiaphragmPulmonary Aspects of Liver Disease and Liver TransplantationCombined occurrence of chyloperitoneum and chylothorax after surgery and chemotherapy for Wilms' tumorLa pleurodesis con talco en los derrames pleurales masivos y recidivantes de las cirrosis hepaticasFibrin Pleurodesis in Recurrent Pleural Effusion with Continuous Ambulant Peritoneal DialysisComplications other Than Peritonitis or those Related to the Catheter and the Fate of Uremic Organ Dysfunction in Patients Receiving Peritoneal DialysisThe chest radiograph after extrathoracic surgeryHydrothorax as a Complication of Pediatric Peritoneal DialysisThe Patient with Liver DiseasePathogenesis of pleurisy, pleural fibrosis, and mesothelial proliferation.Unilateral Hydrothorax Complicating Continuous Ambulatory Peritoneal Dialysis: Demonstration by 99m-Technetmm-Tin-CoHoid ScintigraphyScintigraphic demonstration of a diaphragmatic defect as the cause of massive hydrothorax in cirrhosisA New Treatment for Unilateral Recurrent Hydrothorax during CAPDPulmonary Aspects of Chronic Liver Disease and Liver TransplantationTransudative Pleural EffusionsHydrothorax in Continuous Ambulatory Peritoneal Dialysis: Successful Treatment With Intrapleural Tetracycline and a Review of the LiteratureUnilateral pleural effusion without clinical ascites in Laennec's cirrhosisHepatic Hydrothorax in the Absence of Clinical Ascites: Diagnosis and ManagementManagement of ascites with hydrothoraxMassive Pleural Effusions in Cirrhotic Patients with AscitesBiochemical termination of sustained fibrillation occurring after artificially induced ischemic arrestPleuroperitoneal effusion without ascitesUnilateral pleural effusion without ascites in liver cirrhosisUse of Denver shunt in recurrent hepatic hydrothoraxPleurésies purulentes à Salmonelles. A propos de deux observationsRecent realizations in the surgical treatment of ascitesRecurrent non-surgical pneumoperitoneum due to spontaneous pneumothoraxIatrogenic (self-induced) wet beri-beriLeft pleural effusion in patients with chronic liver disease and ascites prospective study of 22 casesPulmonary Function and Peritoneal DialysisManagement of Nontraumatic ChylothoraxManagement of a Massive Hydrothorax in a CAPD Patient: A Case Report and a Review of the LiteratureHydrothorax with Peritoneal Dialysis: Radionuclide Detection of a Pleuro-peritoneal ConnectionLymphothoraxAscites: Its correction by peritoneovenous shuntingDie LeberCirrhotic Pleural Effusion in the Absence of AscitesLos derrames pleurales en la cirrosis hepaticaTetracycline-Induced Pleural Symphysis for Recurrent Hydrothorax Complicating CirrhosisIncidence and Significance of Pleural Effusion after Abdominal SurgerySpontaneous Bacterial Empyema in CirrhosisDiseases of the Respiratory Tract in AlcoholicsBilateral pneumothorax associated with laparoscopy.Il versamento pleurico benigno 1 February 1966Volume 64, Issue 2Page: 341-351KeywordsAscitesBlood plasmaCirrhosisDiureticsHospital medicineHydrothoraxLymphOsmotic pressurePathogenesisResearch grants Issue Published: 1 February 1966 PDF DownloadLoading ...