Hepatic Chylothorax: An Uncommon Pleural Effusion

被引：6

作者：

Akbar, Aelia ^{[1
]}

Hendrickson, Tara ^{[1
]}

Vangara, Avinash ^{[1
]}

Marlowe, Stanley ^{[1
]}

Hussain, Akbar ^{[1
]}

Ganti, Subramanya Shyam ^{[1
,2
]}

机构：

[1] Appalachian Reg Healthcare, Harlan, KY USA

[2] Appalachian Reg Healthcare, Internal Med Residency Program, 81 Ball Pk Rd, Harlan, KY 40831 USA

来源：

JOURNAL OF INVESTIGATIVE MEDICINE HIGH IMPACT CASE REPORTS | 2023年 / 11卷

关键词：

chylothorax; transudative; exudative; pleural effusion; liver cirrhosis; hepatic hydrothorax; ascites; MEDIUM-CHAIN TRIGLYCERIDES; TRANSUDATIVE CHYLOTHORAX; LIVER-CIRRHOSIS; HYDROTHORAX; MANAGEMENT; DIAGNOSIS;

D O I：

10.1177/23247096221150634

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An 83-year-old male with chronic obstructive pulmonary disease and liver cirrhosis presented with confusion and dyspnea. On chest X-ray, he had the right mid to lower lung zone white out. Ultrasound-guided thoracentesis drained 1.5 L of milky white pleural fluid which was transudative according to chemical analysis. Transudative chylothorax in liver cirrhosis without ascites is rare, but can happen. When the flow of ascitic chylous fluid into the pleural space equals the rate of ascites production, clinical absence of detectable ascites will occur. Hepatic chylothorax is important and should be kept in differentials when evaluating patients with liver cirrhosis.

引用

页数：4

共 29 条

[1] Pleural fluid analysis in chylous pleural effusion [J].