PMID: 11339424May 8, 2001Paper

Radioisotope scintigraphy in the diagnosis of hepatic hydrothorax

Journal of Gastroenterology and Hepatology
A BhattacharyaY Chawla

Abstract

Pleural effusion in cirrhotic patients (hepatic hydrothorax) may result from migration of ascitic fluid across defects in the diaphragm. Biochemical analysis of ascitic and pleural fluid provides only indirect information about the nature and origin of the effusion. The present study was performed in order to demonstrate the presence/absence of peritoneo-pleural communication by radioisotope imaging. Ten patients with cirrhotic ascites and pleural effusion were studied with 99mTc sulfur colloid scintigraphy to look for movement of the radiotracer from the peritoneal to the pleural cavity. Serum-ascitic albumin gradient (SAAG) and serum-pleural fluid albumin gradient (SPAG) values were determined in eight patients to examine the nature of the ascitic and pleural fluids. Transdiaphragmatic movement of ascitic fluid into the pleural space was demonstrated (generally within 2 h of intraperitoneal injection of the radiotracer) in eight of 10 patients; six on the right side, one on the left and one bilaterally. Two patients in whom pleural fluid was transudative on SPAG values were negative for peritoneo-pleural communications. Radionuclide scintigraphy is a simple, safe and relatively non-invasive method to confirm passage of asciti...Continue Reading

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Citations

Aug 19, 2006·Critical Care Medicine·MeiLan King Han, Robert Hyzy
Oct 13, 2009·Journal of Gastroenterology and Hepatology·Masaya TamanoHideyuki Hiraishi
Apr 1, 2014·Clinics in Liver Disease·John Paul Norvell, James R Spivey
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Pei-Ming HuangYung-Chie Lee
Sep 6, 2008·Gastroentérologie Clinique Et Biologique·S AjmiH Essabbah
Jul 25, 2007·Journal of Gastroenterology and Hepatology·Anastasios RoussosKonstantinos I Gourgouliannis
Mar 21, 2003·The Annals of Thoracic Surgery·Jalal AssouadMarc Riquet
Feb 3, 2015·ANZ Journal of Surgery·Clay SiosiDouglas Pikacha
Sep 1, 2016·Hospital Practice·Rana Khazar Al-ZoubiOsama Yousef
Sep 2, 2017·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Tae Won ChoiJoon Koo Han
Oct 23, 2012·American Journal of Therapeutics·Kiran BaikatiSury Anand
Mar 26, 2015·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Konstantinos P KatopodisKonstantinos C Siamopoulos
Apr 11, 2017·Case Reports in Critical Care·Stephanie CullZafar Jamkhana
Sep 21, 2019·Yonsei Medical Journal·Jae Hyun YoonSung Kyu Choi
May 26, 2017·World Journal of Hepatology·Madhan Nellaiyappan, Anastasios Kapetanos
Jun 14, 2003·Current Opinion in Pulmonary Medicine·Gary T Kinasewitz, Jean I Keddissi
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Aug 25, 2016·Clinical Nuclear Medicine·Matthew F CovingtonPhillip H Kuo
Oct 17, 2020·Journal of Translational Internal Medicine·Fabian BenzChristoph Roderburg

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