Chylothorax in the context of alcoholic cirrhosis of the liver
Keywords:
Pleural effusion, Portosystemic Shunt (T.I.P.S.), ChylotoraxAbstract
The authors present the case of a 70 year-old patient, with a story
of chronic alcohol abuse and pulmonary tuberculosis in the past,
admitted to hospital for pleural effusion. Physical examination
showed jaundiced, decrease of breath sounds in the left hemithorax and abdominal prominence with flank tenderness. Abdominal
ultrasound showed ascites and pleural effusion. Thoracocentesis
revealed pleural fluid with characteristics of a transudative milky
effusion. Liver biopsy showed a micronodular cirrhosis pattern. The
option for Transjugular Intrahepatic Portosystemic Shunt (T.I.P.S.)
resulted very well, and the patient remains clinically stable twelve months after its placement.
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