title: Induced negative pressure proposed as a new method for diagnosing hepatic hydrothorax involving minor leaks.
abstract: Hepatic hydrothorax is known as pleural effusion of hepatic origin, and is difficult to diagnose. We herein report the novel strategy combining radioisotope scintigraphy with chest drainage to definitively diagnose hepatic hydrothorax of an 85-year-old patient which would have been missed with conventional diagnostic methods.
authors.affiliation: Department of General Medicine, Toshiba General Hospital Shinagawa-ku, Tokyo, Japan.
authors.forename: Asami
authors.initials: A
authors.lastname: Shimbo
authors.affiliation: Department of Respiratory Disease, Toshiba General Hospital Shinagawa-ku, Tokyo, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Matsuda
authors.affiliation: Department of Gastroenterology, Toshiba General Hospital Shinagawa-ku, Tokyo, Japan.
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Tejima
authors.affiliation: Department of Radiology, Toshiba General Hospital Shinagawa-ku, Tokyo, Japan.
authors.forename: Koh
authors.initials: K
authors.lastname: Yamahira
authors.affiliation: Department of Radiology, Toshiba General Hospital Shinagawa-ku, Tokyo, Japan.
authors.forename: Kenichi
authors.initials: K
authors.lastname: Naka
authors.affiliation: Department of Gastroenterology, Toshiba General Hospital Shinagawa-ku, Tokyo, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Arai
authors.affiliation: Department of General Medicine, Toshiba General Hospital Shinagawa-ku, Tokyo, Japan.
authors.forename: Shuhei
authors.initials: S
authors.lastname: Fujita
keywords: 99mTc-scintigraphy; Diaphragmatic defects; hepatic hydrothorax; peritoneo-pleural communication