title: [Hepatic hydrothorax].
abstract: Hydrothorax liver is defined by the presence of pleural effusion greater than 500mL secondary to portal hypertension in cirrhotic patients. Poor tolerance of hepatic hydrothorax makes the therapeutic management of these fragile patients and is associated with iatrogenic complications. The mechanism of hydrothorax formation cirrhosis is due to a unidirectional transfer of the abdominal ascites through the diaphragmatic gaps (that were identified macroscopically and microscopically) in the pleural cavity. The treatment of hepatic hydrothorax is determined by the possibility or not of liver transplantation. In some patients, anastomosis portocaval transjugular (TIPS) may however be sufficient.
authors.affiliation: Centre hospitalier Laennec, GHPSO, service d'hépato-gastro-entérologie et de nutrition, BP 72, 60109 Creil cedex, France. Electronic address: jeanfrancois.cadranel@ghpso.fr.
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Cadranel
authors.affiliation: Centre hospitalier Laennec, GHPSO, service d'hépato-gastro-entérologie et de nutrition, BP 72, 60109 Creil cedex, France.
authors.forename: Armand
authors.initials: A
authors.lastname: Garioud
authors.affiliation: Centre hospitalier Laennec, GHPSO, service d'hépato-gastro-entérologie et de nutrition, BP 72, 60109 Creil cedex, France.
authors.forename: Hortensia
authors.initials: H
authors.lastname: Lison
authors.affiliation: Centre hospitalier Laennec, GHPSO, service d'hépato-gastro-entérologie et de nutrition, BP 72, 60109 Creil cedex, France.
authors.forename: Mourad
authors.initials: M
authors.lastname: Medmoun
authors.affiliation: Hôpital Jean-Minjoz, service d'hépatologie et de soins intensifs digestifs, 25030 Besançon, France.
authors.forename: Thierry
authors.initials: T
authors.lastname: Thevenot
mesh_terms: D000465:Algorithms; D006801:Humans; D006876:Hydrothorax / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006975:Hypertension, Portal / Q000150:complications; D008103:Liver Cirrhosis / Q000150:complications