An elderly lady came to the casualty department with abdominal pain and vomiting of 1 day duration. She responded to symptomatic treatment. Hence she requested a discharge. The next day she was readmitted with severe breathlessness. Evaluation this time revealed a large right sided pleural effusion. The effusion was drained through an intercostal tube. The fluid was a transudate. Large amount of fluid was drained out of the intercostal tube daily. Detailed evaluation to decipher the cause of transudative effusion pointed to underlying cirrhosis of liver. Presence of a transudative pleural effusion in the absence of a significant ascitis suggested the existence of a pleuro-peritoneal communication. Tc 99m Sulphur colloid isotope scan was done. The scan showed clearance of colloid particles from peritoneal to pleural cavity. The patient was managed with albumin infusion, diuretics; and salt and fluid restriction. Pleural fluid drainage decreased with this intensive treatment.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.