title: Hepatic hydrothorax in the absence of ascites.
abstract: A previously well 66-year-old woman presented with a recurrent transudative right-sided pleural effusion. A nodular liver with coarse echotexture was demonstrated on ultrasound and subsequent MRI found hepatocellular carcinoma. In the absence of cardiopulmonary disease and significant protein uria, the recurrent pleural effusion was presumed to be hepatic hydrothorax despite the absence of ascites or other clinical features of chronic liver disease. The patient is currently awaiting liver transplantation.
authors.affiliation: Department of General Surgery, Great Western Hospital, Swindon, Wilshire, UK.
authors.forename: Kittiya
authors.initials: K
authors.lastname: Sukcharoen
authors.forename: Steven
authors.initials: S
authors.lastname: Dixon
authors.forename: Kamarjit
authors.initials: K
authors.lastname: Mangat
authors.forename: Andrew
authors.initials: A
authors.lastname: Stanton
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications*; D005260:Female; D006801:Humans; D006876:Hydrothorax / Q000209:etiology*; D008103:Liver Cirrhosis / Q000150:complications* / Q000628:therapy; D008113:Liver Neoplasms / Q000150:complications*; D010996:Pleural Effusion / Q000209:etiology* / Q000628:therapy; D012008:Recurrence
references.citation: Hepatology. 1997 Jun;25(6):1366-9
references.pmid: 9185754
references.citation: Eur J Gastroenterol Hepatol. 2001 May;13(5):529-34
references.pmid: 11396532
references.citation: Gastroenterology. 1977 Feb;72(2):319-21
references.pmid: 830583
references.citation: Am J Gastroenterol. 1998 Nov;93(11):2288-9
references.pmid: 9820418
references.citation: Hepatology. 2004 Mar;39(3):841-56
references.pmid: 14999706
references.citation: Aliment Pharmacol Ther. 2004 Aug 1;20(3):271-9
references.pmid: 15274663
references.citation: Arch Surg. 1980 Sep;115(9):1125-7
references.pmid: 7416961
references.citation: Zhonghua Yi Xue Za Zhi (Taipei). 2000 Sep;63(9):704-9
references.pmid: 11037647
references.citation: Am J Med. 1999 Sep;107(3):262-7
references.pmid: 10492320
references.citation: Cases J. 2009 Aug 10;2:6767
references.pmid: 19918541
references.citation: Semin Liver Dis. 1997;17(3):227-32
references.pmid: 9308127
references.citation: Eur Respir J. 1997 Jul;10(7):1648-54
references.pmid: 9230261
references.citation: J Hepatol. 2010 Sep;53(3):397-417
references.pmid: 20633946