Refractory hepatic hydrothorax treated with transjugular intrahepatic portosystemic shunt

被引：27

作者：

Degawa, M ^{[1
]}

Hamasaki, K ^{[1
]}

Yano, K ^{[1
]}

Nakao, K ^{[1
]}

Kato, Y ^{[1
]}

Sakamoto, I ^{[1
]}

Nakata, K ^{[1
]}

Eguchi, K ^{[1
]}

机构：

[1] Nagasaki Univ, Sch Med, Dept Internal Med 1, Nagasaki 8528501, Japan

来源：

JOURNAL OF GASTROENTEROLOGY | 1999年 / 34卷 / 01期

关键词：

hepatic hydrothorax; transjugular intrahepatic portosystemic shunt; liver cirrhosis;

D O I：

10.1007/s005350050228

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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-99m-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.

引用

页码：128 / 131

页数：4

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