Intractable Hepatic Hydrothorax: A Successful Outcome following CPAP Treatment
  • Hassene Attout
    Internal Medicine Department, Les Cevennes Hospital, Ales, France
  • Khalil Samaan
    Internal Medicine Department, Les Cevennes Hospital, Ales, France
  • Hichem Bouhamla
    Internal Medicine Department, Les Cevennes Hospital, Ales, France
  • Sofia Amichi
    Internal Medicine Department, Les Cevennes Hospital, Ales, France
  • Kamel Dahmani
    Internal Medicine Department, Les Cevennes Hospital, Ales, France

Keywords

Cirrhosis, hepatic hydrothorax, CPAP

Abstract

Hepatic hydrothorax is an uncommon complication in patients with end-stage liver disease. It may result in dyspnoea, hypoxia and infection, and carries a poor prognosis. Initial treatment is based on a sodium-free diet together with diuretics. In case of recurrent hydrothorax, a transjugular intrahepatic portosystemic shunt (TIPS) or liver transplant should be considered. Here we describe an 80-year-old woman with decompensated liver cirrhosis related to NASH who presented with refractory hepatic hydrothorax. Treatment with CPAP resulted in a marked improvement in her pleural effusion.

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    Published: 2022-10-10
    Issue: 2022: Vol 9 No 10 (view)

    How to cite:
    1.
    Attout H, Samaan K, Bouhamla H, Amichi S, Dahmani K. Intractable Hepatic Hydrothorax: A Successful Outcome following CPAP Treatment. EJCRIM 2022;9 doi:10.12890/2022_003610.