title: Symptomatic hepatic hydrothorax successfully treated with transjugular intrahepatic portosystemic shunt (TIPS)-role of titration of portosystemic gradient reduction to avoid post-TIPS encephalopathy.
abstract: We describe a challenging case of hepatic hydrothorax secondary to nonalcoholic steatohepatitis cirrhosis. Our management involved successfully treating the hydrothorax with a transjugular intrahepatic porto-systemic shunt but having to manage the subsequent complication of hepatic encephalopathy. We conclude with a review of the available literature.
authors.affiliation: Department of Gastroenterology & Hepatology, Singapore General Hospital Academia Level 3, Outram Road, Singapore, 169608, Singapore.
authors.forename: T L
authors.initials: TL
authors.lastname: Krishnamoorthy
authors.affiliation: Department of Interventional Radiology, Raffles Hospital 585 North Bridge Road, Singapore, 188770.
authors.forename: M
authors.initials: M
authors.lastname: Taneja
authors.affiliation: Department of Gastroenterology & Hepatology, Singapore General Hospital Academia Level 3, Outram Road, Singapore, 169608, Singapore.
authors.forename: P E
authors.initials: PE
authors.lastname: Chang
keywords: Hepatic encephalopathy; TIPS; hepatic hydrothorax; liver cirrhosis; pleural effusion