07 November 2007
Case Rep Clin Pract Rev 2007; 8:334-339 :: ID: 628117
Hepatic hydrothorax (HH) is an uncommon complication of the liver cirrhosis. The main goal of the therapy is to control the ascites. The therapeutic modalities like sodium-fluid restriction and diuretics can lead to pre-renal azotemia. This may lead to failure to optimize the diuretic dose and hence failure to control ascites and HH. Role of somatostatins is not well defined in refractory HH, in the absence of hepatorenal syndrome.
We report the case of a patient with liver cirrhosis, who developed the symptomatic hepatic hydrothorax. Hydrothorax did not improve with diuretic therapy. Transjugular intrahepatic portosystemic shunt and liver transplantation options were not feasible in our patient. Her hospitalization course was complicated with pre-renal azotemia. The treatment with intravenous octreotide improved hydrothorax and pre-renal azotemia.
The management of HH can be very difficult due to complications associated with available therapeutic options. The somatostatin analogues should be considered, when the available therapeutic options could not lead to improvement of HH. We also reviewed the previous case reports in which the somatostatin analogues were used in the management of the hepatic hydrothorax.
Keywords: Hydrothorax, octreotide, Pre-renal azotemia
27 Jan 2023 : Case reportA 37-Year-Old Man with Familial Hereditary Hemorrhagic Telangiectasia and Pulmonary Arteriovenous Malformat...
Am J Case Rep In Press; DOI: 10.12659/AJCR.938548
26 Jan 2023 : Case reportA 39-Year-Old Woman with Endometriosis Who Developed a Subcapsular Liver Hematoma Following Laparotomic Sur...
Am J Case Rep In Press; DOI: 10.12659/AJCR.938169
26 Jan 2023 : Case reportOptic Neuritis as a Consequence of Long-Term Medical Treatment Using Anastrozole: A Case Report
Am J Case Rep In Press; DOI: 10.12659/AJCR.939026
Most Viewed Current Articles
13 Jul 2022 : Case reportWhistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound
Am J Case Rep 2022; 23:e936441
06 Dec 2021 : Case reportLipedema Can Be Treated Non-Surgically: A Report of 5 Cases
Am J Case Rep 2021; 22:e934406
23 Feb 2022 : Case reportPenile Necrosis Associated with Local Intravenous Injection of Cocaine
Am J Case Rep 2022; 23:e935250