DOI: 10.12890/2022_003610
Intractable Hepatic Hydrothorax: A Successful Outcome following CPAP Treatment
Authors
dr.attout@ch-ales.fr
Keywords
Cirrhosis, hepatic hydrothorax, CPAPAbstract
Hepatic hydrothorax is an uncommon complication in patients with end-stage liver disease. It may result in dyspnoea, hypoxia and infection, and carries a poor prognosis. Initial treatment is based on a sodium-free diet together with diuretics. In case of recurrent hydrothorax, a transjugular intrahepatic portosystemic shunt (TIPS) or liver transplant should be considered. Here we describe an 80-year-old woman with decompensated liver cirrhosis related to NASH who presented with refractory hepatic hydrothorax. Treatment with CPAP resulted in a marked improvement in her pleural effusion.
References
- Norvell JP, Spivey JR. Hepatic hydrothorax. Clin Liver Dis 2014;18(2):439–449.
- Roussos A, Philippou N, Mantzaris GJ, Gourgouliannis K. Hepatic hydrothorax: pathophysiology and management. J Gastroenterol Hepatol 2007;22:1388–1393.
- Ajmi S, Hassine H, Guerguez M, Elajmi S, Dali KM, Karmani M, et al. Isotopic exploration of hepatic hydrothorax. Gastroenterol Clin Biol 2004;28(5):462–466.
- Takahashi K, Chin K, Sumi K, Nakamura T, Matsumuto H, Niimi A, et al. Resistant hepatic hydrothorax. Respir Med 2005;99(3):262–264.
- Saito R, Rai T, Saito H, Abe K, Takahashi A, Takiguchi J, et al. Two cases of intractable hepatic hydrothorax successfully treated with nasal CPAP. Nihon Shokakibyo Gakkai Zasshi 2006 Oct;103(10):1146–1151.
- Yamamoto M, Miyashita M, Okamoto S, Kitazono M, Murata K, Wada A, et al. A case of hepatogenic hydrothorax that art of pleurodesis succeeded by CPAP combination. Nihon Naika Gakkai Zasshi 2015;104(3):590–592.