PMID: 15243321Jul 10, 2004Paper

Isotopic exploration of hepatic hydrothorax: ten cases

Gastroentérologie Clinique Et Biologique
S AjmiH Essabbah

Abstract

The aim of this retrospective study was to evaluate the performance of peritoneal scintigraphy for the diagnosis of peritoneopleural communication in patients with cirrhosis and to discuss its role in therapeutic management. Ten patients with cirrhosis and pleural effusion were included in this study. Cirrhosis was due to viral hepatitis in eight patients, auto-immune disease in one patient and of unknown origin in one. The pleural effusion was right-sided in nine patients and bilateral in one. 99m-technetium sulfur colloid peritoneal scintigraphy was performed in all patients. Scintigraphy revealed peritoneopleural communication in nine patients. In four patients, radioactivity appeared in the pleural cavity within a few minutes after injection of the radiotracer. In three of them, a large diaphragmatic defect was demonstrated by ultrasonography, magnetic resonance imaging or thoracoscopy. Complete response to medical treatment was observed in four patients. Scintigraphy revealed rapid radioactivity migration in four patients; diuretic treatment led to resolution of the hydrothorax in one of them. Three patients whose hydrothorax was refractory to medical treatment were treated by pleurodesis with talc. Resolution of the hydro...Continue Reading

References

Feb 1, 1966·Annals of Internal Medicine·F L LiebermanT B Reynolds
Oct 1, 1993·Journal of Clinical Gastroenterology·A GiacobbeR Sacco
Jun 1, 1997·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·F D GordonC Trey

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Citations

Oct 13, 2009·Journal of Gastroenterology and Hepatology·Masaya TamanoHideyuki Hiraishi
Apr 1, 2014·Clinics in Liver Disease·John Paul Norvell, James R Spivey
Sep 6, 2008·Gastroentérologie Clinique Et Biologique·S AjmiH Essabbah
May 24, 2006·Clinics in Chest Medicine·Richard W Light
Oct 26, 2016·La Presse médicale·Jean-François CadranelThierry Thevenot
May 15, 2016·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Lee J HewettDon C Rockey
Oct 19, 2016·Digestive Diseases and Sciences·Feifei HouXiaozhong Guo

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