Hepatic hydrothorax: Pathophysiology diagnosis and management
Article first published online: 20 JUL 2007
Journal of Gastroenterology and Hepatology
Volume 22, Issue 9, pages 1388–1393, September 2007
How to Cite
Roussos, A., Philippou, N., Mantzaris, G. J. and Gourgouliannis, K. I. (2007), Hepatic hydrothorax: Pathophysiology diagnosis and management. Journal of Gastroenterology and Hepatology, 22: 1388–1393. doi: 10.1111/j.1440-1746.2007.05069.x
- Issue published online: 15 AUG 2007
- Article first published online: 20 JUL 2007
- Accepted for publication 17 April 2007.
- hepatic hydrothorax;
- portal hypertension
Hepatic hydrothorax is defined as a significant pleural effusion (usually greater than 500 ml) in a cirrhotic patient, without an underlying pulmonary or cardiac disease. The diagnosis of hepatic hydrothorax should be suspected in a patient with established cirrhosis and portal hypertension, presenting with a unilateral pleural effusion, most commonly right-sided. In the vast majority of cases, patients with hepatic hydrothorax have end-stage liver disease. Therefore, they should be considered potential candidates for orthotopic liver transplantation. Until the performance of transplantation, other therapeutic modalities should be applied in order to relieve symptoms and prevent pulmonary complications.