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Case Report

Vol. 14 No. 2 (2013)

An Unusual Case of Resistant Hepatic Hydrothorax Treated with Octreotide Infusion

  • Mehrdad Ghahremani-Ghajar,
  • Mostafa Tabassomi
  • Scott Harada
  • Jose Joseph Vempilly
DOI
https://doi.org/10.26443/mjm.v14i2.201
Submitted
August 5, 2020
Published
2020-08-05

Abstract

Hepatic hydrothorax is an uncommon clinical problem observed in
patients with end stage liver disease and portal hypertension. The pathogenesis of pleural effusion in this condition is thought to involve the movement of ascitic fuid across diaphragmatic defects into pleural cavity facilitated by a negative pleural pressure. Therefore, tube thoracostomy is not considered to be a defnitive treatment option in the management of hepatic hydrothorax. We present a case of massive pleural effusion secondary to hepatic hydrothorax not responding to conventional treatment successfully treated with intravenous infusion of octreotide.

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