✦ LIBER ✦
Large diaphragmatic defect as the cause of hydrothorax in a cirrhotic patient: demonstration with peritoneal scintigraphy and magnetic resonance imaging
✍ Scribed by Sami Ajmi; Habib Hassine; Nadia Arifa; Monia Karmani; Mohsen Guezguez; Salem Elajmi; Habib Essabbah
- Publisher
- Elsevier Science
- Year
- 2004
- Tongue
- English
- Weight
- 152 KB
- Volume
- 22
- Category
- Article
- ISSN
- 0730-725X
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✦ Synopsis
A 52-year-old man with history of post-hepatitic cirrhosis presented with ascitis and respiratory distress. Chest X-ray on admission showed a large right hydrothorax. Thoracentesis yielded a large volume of a clear transudate fluid. Peritoneal scintigraphy showed rapid migration of radiotracer into the right pleural cavity, confirming the abdominal origin of the pleural fluid and suspecting a large diaphragmatic defect. MR imaging study using ultrafast sequences confirmed the large diaphragmatic defect.