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At least 487 records · Page 27Linked to original sources
PubMed1982

Prediction of satisfactory response to pleural sclerosis using radiopharmaceuticals: study in a patient with cirrhotic hydrothorax and LeVeen shunt.

Rapidly recurring right pleural effusion was a disabling clinical problem in a 51-year-old woman with alcoholic cirrhosis that had not been relieved by diuretic therapy or a LeVeen shunt. By injecting technetium Tc 99m albumin aggregated into the peritoneal cavity, shunt patency and rapid flow into the pleural effusion were demonstrated. In contrast, technetium Tc 99m albumin aggregated injected injected into the pleural fluid showed no movement into the abdominal cavity. These test results predicted that pleural sclerosis would help her clinical problem but would not place the abdominal contents in jeopardy. This prediction has proved to be correct.

Female↗
PubMed1982

Hydrothorax in a patient receiving continuous ambulatory peritoneal dialysis: successful treatment with intermittent peritoneal dialysis.

A 51-year-old woman had end-stage renal failure from polycystic kidney disease. Two years after she started receiving peritoneal dialysis, a large right pleural effusion developed in the patient that was secondary to a pleuroperitoneal connection as demonstrated by a radionuclide scan. The patient was switched from continuous ambulatory peritoneal dialysis (CAPD) to intermittent peritoneal dialysis (IPD) with resolution of the effusion that recurred when she was rechallenged with CAPD one month later. We believe the large ultrafiltrate volume of CAPD with prolonged dwelling times may have ruptured microscopic defects in the diaphragm due to increased abdominal pressure. With the smaller ultrafiltrate volume of IPD and the semisitting position, the patient was able to continue receiving peritoneal dialysis with resolution of the pleural effusion.

Adult↗
PubMed1978

[Cardiac arrest and hydrothorax as a complication of anaesthesia following subclavian catheter (author's transl)].

The present case report describes a case of intrapleural infusion by means of a subclavian catheter. The clinical situation together with the signs of posteroinferior infarction in ECG led to a wrong diagnosis. During an emergency oepration the intrapleural infusion caused cardiac arrest which could be mastered by successful reanimation. After drainage of the intrapleural infusion the patient recovers without further complications. Prior to every infusion subclavicular catheters should be tested by blood aspiration.

Aged↗