Innovative Management of a Difficult Case of Hepatic Hydrothorax-Reference-Cited by-同舟云学术

Innovative Management of a Difficult Case of Hepatic Hydrothorax

Published:2024-06 Issue:6 Volume:11 Page:e01372
ISSN:2326-3253
Container-title:ACG Case Reports Journal
language:en
Short-container-title:ACG Case Rep J

Author:

Tiwari Neha¹,Shlomovitz Eran²,Capel Jeroen³,Wong Florence¹^ORCID

Affiliation:

1. Department of Medicine, Division of Gastroenterology & Hepatology, Toronto General Hospital, University of Toronto, Toronto, Canada

2. Joint Medical Imaging Department, Toronto General Hospital, University of Toronto, Toronto, Canada

3. Sequana Medical, Ghent, Belgium

Abstract

ABSTRACT Hepatic hydrothorax affects 5%–15% of decompensated cirrhosis patients, with up to 26% being refractory to standard treatments. For those ineligible for transjugular intrahepatic systemic shunts or liver transplants, alternatives to repeated thoracentesis are limited but can include the insertion of an indwelling pleural catheter. We present the first case of the use of an automatic low-flow ascites pump (alfapump) to manage nonmalignant pleural effusion in an elderly patient with cirrhosis.

Funder

No funding was provided for this article

Publisher

Ovid Technologies (Wolters Kluwer Health)

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