Videothoracoscopic closure of pleuroperitoneal communication with hepatic hydrothorax preoperatively detected using contrast-enhanced ultrasonography

Hepatic hydrothorax is the retention of transudative pleural effusion in patients with liver cirrhosis. One of its etiologies is the continuous influx of ascites to the thoracic cavity through a fistula of the diaphragm. Here, we present a case of hepatic hydrothorax involving a patient in whom cont...

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Bibliographic Details
Published inThe Journal of the Japanese Association for Chest Surgery Vol. 33; no. 7; pp. 754 - 758
Main Authors Shimazu, Yumeta, Yamazaki, Nobuhisa, Tanaka, Hirokazu, Watanabe, Hiroyoshi, Sonobe, Makoto, Komekado, Hideyuki
Format Journal Article
LanguageJapanese
Published The Japanese Association for Chest Surgery 15.11.2019
Subjects
contrast-enhanced ultrasonography
hepatic hydrothorax
pleuroperitoneal communication
video-assisted thoracoscopic surgery
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Summary:Hepatic hydrothorax is the retention of transudative pleural effusion in patients with liver cirrhosis. One of its etiologies is the continuous influx of ascites to the thoracic cavity through a fistula of the diaphragm. Here, we present a case of hepatic hydrothorax involving a patient in whom contrast-enhanced ultrasonography with the intraperitoneal injection of perflubutane revealed a right diaphragmatic fistula several days before surgical disclosure under videothoracoscopic surgery. We resected the fistula using a surgical stapler with polyglycolic acid felt. Hepatic hydrothorax showed no recurrence 3 months after the surgery. Contrast-enhanced ultrasonography is easily performed and may be useful to prove the existence and location of a fistula.
ISSN:0919-0945
1881-4158
DOI:10.2995/jacsurg.33.754