Hepatic Hydrothorax: An Updated Review on a Challenging Disease

Hepatic hydrothorax is a challenging complication of cirrhosis related to portal hypertension with an incidence of 5–11% and occurs most commonly in patients with decompensated disease. Diagnosis is made through thoracentesis after excluding other causes of transudative effusions. It presents with d...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Chaaban, Toufic (author)
مؤلفون آخرون: Kanj, Nadim (author), Bou Akl, Imad (author)
التنسيق: article
منشور في: 2019
الوصول للمادة أونلاين:http://hdl.handle.net/10725/15898
https://doi.org/10.1007/s00408-019-00231-6
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://link.springer.com/article/10.1007/s00408-019-00231-6
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author Chaaban, Toufic
author2 Kanj, Nadim
Bou Akl, Imad
author2_role author
author
author_facet Chaaban, Toufic
Kanj, Nadim
Bou Akl, Imad
author_role author
dc.creator.none.fl_str_mv Chaaban, Toufic
Kanj, Nadim
Bou Akl, Imad
dc.date.none.fl_str_mv 2019
2019-05-25
2024-07-19T10:30:14Z
2024-07-19T10:30:14Z
dc.identifier.none.fl_str_mv 0341-2040
http://hdl.handle.net/10725/15898
https://doi.org/10.1007/s00408-019-00231-6
Chaaban, T., Kanj, N., & Bou Akl, I. (2019). Hepatic hydrothorax: an updated review on a challenging disease. Lung, 197, 399-405.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://link.springer.com/article/10.1007/s00408-019-00231-6
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv Lung
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Hepatic Hydrothorax: An Updated Review on a Challenging Disease
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Hepatic hydrothorax is a challenging complication of cirrhosis related to portal hypertension with an incidence of 5–11% and occurs most commonly in patients with decompensated disease. Diagnosis is made through thoracentesis after excluding other causes of transudative effusions. It presents with dyspnea on exertion and it is most commonly right sided. Pathophysiology is mainly related to the direct passage of fluid from the peritoneal cavity through diaphragmatic defects. In this updated literature review, we summarize the diagnosis, clinical presentation, epidemiology and pathophysiology of hepatic hydrothorax, then we discuss a common complication of hepatic hydrothorax, spontaneous bacterial pleuritis, and how to diagnose and treat this condition. Finally, we elaborate all treatment options including chest tube drainage, pleurodesis, surgical intervention, Transjugular Intrahepatic Portosystemic Shunt and the most recent evidence on indwelling pleural catheters, discussing the available data and concluding with management recommendations.
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identifier_str_mv 0341-2040
Chaaban, T., Kanj, N., & Bou Akl, I. (2019). Hepatic hydrothorax: an updated review on a challenging disease. Lung, 197, 399-405.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
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spelling Hepatic Hydrothorax: An Updated Review on a Challenging DiseaseChaaban, TouficKanj, NadimBou Akl, ImadHepatic hydrothorax is a challenging complication of cirrhosis related to portal hypertension with an incidence of 5–11% and occurs most commonly in patients with decompensated disease. Diagnosis is made through thoracentesis after excluding other causes of transudative effusions. It presents with dyspnea on exertion and it is most commonly right sided. Pathophysiology is mainly related to the direct passage of fluid from the peritoneal cavity through diaphragmatic defects. In this updated literature review, we summarize the diagnosis, clinical presentation, epidemiology and pathophysiology of hepatic hydrothorax, then we discuss a common complication of hepatic hydrothorax, spontaneous bacterial pleuritis, and how to diagnose and treat this condition. Finally, we elaborate all treatment options including chest tube drainage, pleurodesis, surgical intervention, Transjugular Intrahepatic Portosystemic Shunt and the most recent evidence on indwelling pleural catheters, discussing the available data and concluding with management recommendations.Published2024-07-19T10:30:14Z2024-07-19T10:30:14Z20192019-05-25Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article0341-2040http://hdl.handle.net/10725/15898https://doi.org/10.1007/s00408-019-00231-6Chaaban, T., Kanj, N., & Bou Akl, I. (2019). Hepatic hydrothorax: an updated review on a challenging disease. Lung, 197, 399-405.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://link.springer.com/article/10.1007/s00408-019-00231-6enLunginfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/158982024-07-19T10:30:46Z
spellingShingle Hepatic Hydrothorax: An Updated Review on a Challenging Disease
Chaaban, Toufic
status_str publishedVersion
title Hepatic Hydrothorax: An Updated Review on a Challenging Disease
title_full Hepatic Hydrothorax: An Updated Review on a Challenging Disease
title_fullStr Hepatic Hydrothorax: An Updated Review on a Challenging Disease
title_full_unstemmed Hepatic Hydrothorax: An Updated Review on a Challenging Disease
title_short Hepatic Hydrothorax: An Updated Review on a Challenging Disease
title_sort Hepatic Hydrothorax: An Updated Review on a Challenging Disease
url http://hdl.handle.net/10725/15898
https://doi.org/10.1007/s00408-019-00231-6
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://link.springer.com/article/10.1007/s00408-019-00231-6