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KMID : 0614620200750020098
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Korean Journal of Gastroenterology
2020 Volume.75 No. 2 p.98 ~ p.102
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fractory Hepatic Hydrothorax in Chronic Hepatitis C Controlled by Direct-acting Antivirals
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Kim Myung-Hee
Kim Duk-Ki
Eun Hyuk-Soo
Rou Woo-Sun
Kim Seok-Hyun
Lee Byung-Seok
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Abstract
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Hepatic hydrothorax is a transudative pleural effusion that complicates advanced liver cirrhosis. Patients refractory to medical treatment plus salt restriction and diuretics are considered to have refractory hepatic hydrothorax and may require transjugular intrahepatic portosystemic shunt (TIPS) or liver transplant. Successful antiviral therapy reduces the incidence of some complications of cirrhosis secondary to HCV infection. We report a case of hepatic hydrothorax in a 55-year-old female patient with HCV cirrhosis, which exhibited a spontaneous decrease in pleural effusion after direct antiviral agent (DAA) therapy. In cases of HCV cirrhosis, DAAs are worth administering before treatment by TIPS or liver transplantation.
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KEYWORD
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Hydrothorax, Liver cirrhosis, Hepacivirus, Pleural effusion
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