Multiple Hepatic Cirrhosis Complications: Left Hepatic Hydrothorax, Upper Gastrointestinal Hemorrhage and Acute Portal Vein Thrombosis: A Case Report
<p>Hepatic hydrothorax (HH), variceal haemorrhage (VH) and portal vein thrombosis (PVT) are complications associated with hepatic cirrhosis (HC) and involve poor prognosis. </p><p>HH occurs in 4%-17% of cirrhotic patients [1]. Atypical presentations include pleural effusion without...
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| Main Authors: | , , |
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| Format: | Book |
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Imaging Journal of Clinical and Medical Sciences - Peertechz Publications,
2014-12-18.
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| Online Access: | Connect to this object online. |
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| Summary: | <p>Hepatic hydrothorax (HH), variceal haemorrhage (VH) and portal vein thrombosis (PVT) are complications associated with hepatic cirrhosis (HC) and involve poor prognosis. </p><p>HH occurs in 4%-17% of cirrhotic patients [1]. Atypical presentations include pleural effusion without ascites and left-sided only effusions. The pathophysiology is believed to involve defects in tendinous diaphragmatic portion. Usual treatment includes diuretics and thoracocentesis, and even transjugular intrahepatic portosystemic shunt (TIPS) and liver transplantation [2]. Among patients with cirrhosis, due to portal hypertension (PH), varices form quite frequently (10% a year, approximately), and about a third of patients with varices will develop VH. PVT is commonly developed in cirrhosis (ultrasonography studies have reported prevalence of 5 to 24 per cent), and is related to unbalanced haemostasis and slowing of portal flow.</p> |
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| DOI: | 10.17352/2455-8702.000016 |