Role of the peritoneopleural pressure gradient in the genesis of hepatic hydrothorax. An isotopic study

被引:14
作者
Ajmi, S. [1 ]
Sfar, R. [1 ]
Nouira, M. [1 ]
Souguir, A. [2 ]
Jmaa, A. [2 ]
Golli, L. [2 ]
Ben Fredj, M. [1 ]
Essabbah, H. [1 ]
机构
[1] Sahlouls Hosp, Dept Nucl Med, Sousse 4054, Tunisia
[2] Sahlouls Hosp, Dept Gastroenterol, Sousse 4054, Tunisia
来源
GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE | 2008年 / 32卷 / 8-9期
关键词
D O I
10.1016/j.gcb.2008.04.032
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Hepatic hydrothorax is defined as the development of significant pleural effusion in a patient with cirrhosis without primary pulmonary or cardiac disease. This complication is seen in 4-10% of patients with cirrhosis. The pleural effusion is a result of a direct passage of ascitic fluid into the pleural cavity through a defect in the diaphragm. We report two patients with posthepatitis cirrhosis presenting with a significant pleural effusion. The peritoneopleurat communication was demonstrated by peritoneat scintigraphy. The rote of the peritoneopleural pressure gradient is discussed. (C) 2008 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:729 / 733
页数:5
相关论文
共 26 条
[1]   Isotopic exploration of hepatic hydrothorax: ten cases [J].
Ajmi, S ;
Hassine, H ;
Guezguez, M ;
Elajmi, S ;
Mrad Dali, K ;
Karmani, M ;
Zayane, A ;
Essabbah, H .
GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE, 2004, 28 (05) :462-466
[2]   Large diaphragmatic defect as the cause of hydrothorax in a cirrhotic patient: demonstration with peritoneal scintigraphy and magnetic resonance imaging [J].
Ajmi, S ;
Hassine, H ;
Arifa, N ;
Karmani, M ;
Guezguez, M ;
Elajmi, S ;
Essabbah, H .
MAGNETIC RESONANCE IMAGING, 2004, 22 (03) :431-433
[3]   HEPATIC HYDROTHORAX - CAUSE AND MANAGEMENT [J].
ALBERTS, WM ;
SALEM, AJ ;
SOLOMON, DA ;
BOYCE, G .
ARCHIVES OF INTERNAL MEDICINE, 1991, 151 (12) :2383-2388
[4]   Radioisotope scintigraphy in the diagnosis of hepatic hydrothorax [J].
Bhattacharya, A ;
Mittal, BR ;
Biswas, T ;
Dhiman, RK ;
Singh, B ;
Jindal, SK ;
Chawla, Y .
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2001, 16 (03) :317-321
[5]  
Boin I F, 2001, Arq Gastroenterol, V38, P125
[6]   DIAPHRAGMATIC DEFECT AS A CAUSE OF MASSIVE HYDROTHORAX IN CIRRHOSIS OF LIVER [J].
CHEN, A ;
HO, YS ;
TU, YC ;
TANG, HS ;
CHENG, TC .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 1988, 10 (06) :663-666
[7]   PREDICTION OF SATISFACTORY RESPONSE TO PLEURAL SCLEROSIS USING RADIOPHARMACEUTICALS - STUDY IN A PATIENT WITH CIRRHOTIC HYDROTHORAX AND LEVEEN SHUNT [J].
CRAWFORD, KL ;
MCDOUGALL, IR .
ARCHIVES OF INTERNAL MEDICINE, 1982, 142 (01) :194-196
[8]   Thoracoscopy and talc poudrage in the management of hepatic hydrothorax [J].
de Campos, JRM ;
Andrade, LO ;
Werebe, ED ;
Sette, H ;
Fernandez, A ;
Filomeno, LTB ;
Jatene, FB .
CHEST, 2000, 118 (01) :13-17
[9]   Hepatic hydrothorax - Diagnosis and management [J].
Giacobbe, A ;
Facciorusso, D ;
Barbano, F ;
Andriulli, A ;
Frusciante, V .
CLINICAL NUCLEAR MEDICINE, 1996, 21 (01) :56-60
[10]   HYDROTHORAX COMPLICATING CIRRHOSIS IN THE ABSENCE OF ASCITES [J].
GIACOBBE, A ;
FACCIORUSSO, D ;
TONTI, P ;
ANDRIULLI, A ;
BARBANO, F ;
FRUSCIANTE, V ;
SACCO, R .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 1993, 17 (03) :271-272