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Transjugular Intrahepatic Portosystemic Shunt (TIPS) in Refractory Transudative Chylothorax due to Liver Cirrhosis

Chylothorax is an infrequent type of pleural effusion, typically exudative, caused by obstruction or laceration of the thoracic duct by malignancy, trauma, or thoracic surgery. Transudative chylous pleural effusions are extremely rare. We report a case of a 63-year-old male with recurrent transudati...

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Autores principales: Khaliq, Muhammad Farhan, Noorani, Muhammad Muslim, Chowdhry, Monica, Mohamed, Hesham, Koirala, Ashish
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029287/
https://www.ncbi.nlm.nih.gov/pubmed/32089702
http://dx.doi.org/10.1155/2020/2581040
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author Khaliq, Muhammad Farhan
Noorani, Muhammad Muslim
Chowdhry, Monica
Mohamed, Hesham
Koirala, Ashish
author_facet Khaliq, Muhammad Farhan
Noorani, Muhammad Muslim
Chowdhry, Monica
Mohamed, Hesham
Koirala, Ashish
author_sort Khaliq, Muhammad Farhan
collection PubMed
description Chylothorax is an infrequent type of pleural effusion, typically exudative, caused by obstruction or laceration of the thoracic duct by malignancy, trauma, or thoracic surgery. Transudative chylous pleural effusions are extremely rare. We report a case of a 63-year-old male with recurrent transudative chylothorax secondary to cirrhosis that completely resolved with transjugular intrahepatic portosystemic shunting (TIPS). Transudative chylous pleural effusion is an extremely rare entity with only a few cases reported in the literature to date. Transudative chylothorax can occur in patients with liver cirrhosis. Recognizing this association will prevent unnecessary testing and procedures. Timely diagnosis and early initiation of treatment are pivotal in preventing complications from malnutrition and infection by preventing loss of electrolytes, immunoglobulins, and T-lymphocytes.
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spelling pubmed-70292872020-02-21 Transjugular Intrahepatic Portosystemic Shunt (TIPS) in Refractory Transudative Chylothorax due to Liver Cirrhosis Khaliq, Muhammad Farhan Noorani, Muhammad Muslim Chowdhry, Monica Mohamed, Hesham Koirala, Ashish Case Rep Med Case Report Chylothorax is an infrequent type of pleural effusion, typically exudative, caused by obstruction or laceration of the thoracic duct by malignancy, trauma, or thoracic surgery. Transudative chylous pleural effusions are extremely rare. We report a case of a 63-year-old male with recurrent transudative chylothorax secondary to cirrhosis that completely resolved with transjugular intrahepatic portosystemic shunting (TIPS). Transudative chylous pleural effusion is an extremely rare entity with only a few cases reported in the literature to date. Transudative chylothorax can occur in patients with liver cirrhosis. Recognizing this association will prevent unnecessary testing and procedures. Timely diagnosis and early initiation of treatment are pivotal in preventing complications from malnutrition and infection by preventing loss of electrolytes, immunoglobulins, and T-lymphocytes. Hindawi 2020-02-07 /pmc/articles/PMC7029287/ /pubmed/32089702 http://dx.doi.org/10.1155/2020/2581040 Text en Copyright © 2020 Muhammad Farhan Khaliq et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Khaliq, Muhammad Farhan
Noorani, Muhammad Muslim
Chowdhry, Monica
Mohamed, Hesham
Koirala, Ashish
Transjugular Intrahepatic Portosystemic Shunt (TIPS) in Refractory Transudative Chylothorax due to Liver Cirrhosis
title Transjugular Intrahepatic Portosystemic Shunt (TIPS) in Refractory Transudative Chylothorax due to Liver Cirrhosis
title_full Transjugular Intrahepatic Portosystemic Shunt (TIPS) in Refractory Transudative Chylothorax due to Liver Cirrhosis
title_fullStr Transjugular Intrahepatic Portosystemic Shunt (TIPS) in Refractory Transudative Chylothorax due to Liver Cirrhosis
title_full_unstemmed Transjugular Intrahepatic Portosystemic Shunt (TIPS) in Refractory Transudative Chylothorax due to Liver Cirrhosis
title_short Transjugular Intrahepatic Portosystemic Shunt (TIPS) in Refractory Transudative Chylothorax due to Liver Cirrhosis
title_sort transjugular intrahepatic portosystemic shunt (tips) in refractory transudative chylothorax due to liver cirrhosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029287/
https://www.ncbi.nlm.nih.gov/pubmed/32089702
http://dx.doi.org/10.1155/2020/2581040
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