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KMID : 0363819920260020392
Korean Journal of Nuclear Medicine
1992 Volume.26 No. 2 p.392 ~ p.395
A Case of Hepatic Hydrothorax
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Abstract
Hepatic hydrothorax is defined as the presence, in a cirrhotic patient, of a large pleural effusion in the absence of primary pulmonary or cardiac disease.
Pleural effusions occur in 5% to 10% of patients with cirrhosis of the liver. The effusions are usually right-sided, but may be bilateral or left-sided.
The precise mechanism of fluid accumulation is not clear.
We reported a case of right hepatic hydrothorax occuring in the liver cirrhosis with ascites. Diagnosis was confirmed by the intraperitoneal and intrapleural injection of radioisotope 99mTc-tin colloid that demonstrated the one-way
transdiaphragmatic
flow of fluid from the peritoneal to pleural cavities.
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