Hepatic Hydrothorax: The Conundrum and the Oxymoron
Hepatic hydrothorax (HH) is an infrequent but a well-known complication of portal hypertension. Medical management of this condition often fails, and there are no large randomized-controlled trials establishing the best treatment strategies. HH thus represents a formidable entity in the management o...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-04-01
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1603566 |
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| author | Sachin Kumar Yashwant Patidar Rakhi Maiwall |
| author_facet | Sachin Kumar Yashwant Patidar Rakhi Maiwall |
| author_sort | Sachin Kumar |
| collection | DOAJ |
| description | Hepatic hydrothorax (HH) is an infrequent but a well-known complication of portal hypertension. Medical management of this condition often fails, and there are no large randomized-controlled trials establishing the best treatment strategies. HH thus represents a formidable entity in the management of end-stage liver disease, and the only definitive treatment is liver transplantation. Despite documented ominous outcome, tube thoracostomy (TT) is still a widely practiced approach to HH mostly by the unaware primary care physician. This communication reports the occurrence of pleurosubcutaneous fistula as a presenting complication of TT in a patient with HH. TT should thus be avoided at all costs in this subset of patients because it is fraught with multiple complications. This report reinforces the importance of clinical education and awareness of these complications and outcomes of TT in a cirrhotic patient with HH. |
| format | Article |
| id | doaj-art-8542c51e8fb04d38a5dc86b9f8940a1b |
| institution | OA Journals |
| issn | 2456-4869 |
| language | English |
| publishDate | 2017-04-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-8542c51e8fb04d38a5dc86b9f8940a1b2025-08-20T01:58:20ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-48692017-04-01010104604810.1055/s-0037-1603566Hepatic Hydrothorax: The Conundrum and the OxymoronSachin Kumar0Yashwant Patidar1Rakhi Maiwall2Department of Pulmonary Medicine, Institute of Liver and Biliary Sciences, New Delhi, IndiaDepartment of Radiodiagnosis, Institute of Liver and Biliary Sciences, New Delhi, IndiaDepartment of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, IndiaHepatic hydrothorax (HH) is an infrequent but a well-known complication of portal hypertension. Medical management of this condition often fails, and there are no large randomized-controlled trials establishing the best treatment strategies. HH thus represents a formidable entity in the management of end-stage liver disease, and the only definitive treatment is liver transplantation. Despite documented ominous outcome, tube thoracostomy (TT) is still a widely practiced approach to HH mostly by the unaware primary care physician. This communication reports the occurrence of pleurosubcutaneous fistula as a presenting complication of TT in a patient with HH. TT should thus be avoided at all costs in this subset of patients because it is fraught with multiple complications. This report reinforces the importance of clinical education and awareness of these complications and outcomes of TT in a cirrhotic patient with HH.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1603566hepatic hydrothoraxchest tube removalfistulacirrhosis |
| spellingShingle | Sachin Kumar Yashwant Patidar Rakhi Maiwall Hepatic Hydrothorax: The Conundrum and the Oxymoron Journal of Clinical Interventional Radiology ISVIR hepatic hydrothorax chest tube removal fistula cirrhosis |
| title | Hepatic Hydrothorax: The Conundrum and the Oxymoron |
| title_full | Hepatic Hydrothorax: The Conundrum and the Oxymoron |
| title_fullStr | Hepatic Hydrothorax: The Conundrum and the Oxymoron |
| title_full_unstemmed | Hepatic Hydrothorax: The Conundrum and the Oxymoron |
| title_short | Hepatic Hydrothorax: The Conundrum and the Oxymoron |
| title_sort | hepatic hydrothorax the conundrum and the oxymoron |
| topic | hepatic hydrothorax chest tube removal fistula cirrhosis |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1603566 |
| work_keys_str_mv | AT sachinkumar hepatichydrothoraxtheconundrumandtheoxymoron AT yashwantpatidar hepatichydrothoraxtheconundrumandtheoxymoron AT rakhimaiwall hepatichydrothoraxtheconundrumandtheoxymoron |