Symptomatic hepatic hydrothorax successfully treated with transjugular intrahepatic portosystemic shunt (TIPS)–role of titration of portosystemic gradient reduction to avoid post‐TIPS encephalopathy

Key Clinical Message We describe a challenging case of hepatic hydrothorax secondary to nonalcoholic steatohepatitis cirrhosis. Our management involved successfully treating the hydrothorax with a transjugular intrahepatic porto‐systemic shunt but having to manage the subsequent complication of hepa...

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Bibliographic Details
Published in:Clinical case reports 2014-06, Vol.2 (3), p.93-97
Main Authors: Krishnamoorthy, T. L., Taneja, M., Chang, P. E.
Format: Article
Language:English
Subjects:
Abdomen
Case Reports
Diuretics
Esophagus
Hepatic encephalopathy
hepatic hydrothorax
Hepatitis
Liver cirrhosis
Patients
pleural effusion
Proteins
TIPS
Veins & arteries
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Summary:Key Clinical Message We describe a challenging case of hepatic hydrothorax secondary to nonalcoholic steatohepatitis cirrhosis. Our management involved successfully treating the hydrothorax with a transjugular intrahepatic porto‐systemic shunt but having to manage the subsequent complication of hepatic encephalopathy. We conclude with a review of the available literature. We describe a challenging case of hepatic hydrothorax secondary to nonalcoholic steatohepatitis cirrhosis. Our management involved successfully treating the hydrothorax with a transjugular intrahepatic porto‐systemic shunt but having to manage the subsequent complication of hepatic encephalopathy. We conclude with a review of the available literature.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.70