PLEURAL EFFUSION PRODUCED BY ABDOMINO-PLEURAL COMMUNICATION IN A PATIENT WITH LAENNEC'S CIRRHOSIS OF THE LIVER AND ASCITES
Authors: M H WILLIAMS
Journal: Annals of Internal Medicine (1950)

Case Reports1 July 1950PLEURAL EFFUSION PRODUCED BY ABDOMINO-PLEURAL COMMUNICATION IN A PATIENT WITH LAENNEC'S CIRRHOSIS OF THE LIVER AND ASCITESM. HENRY WILLIAMS JR., M.D.M. HENRY WILLIAMS JR., M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-33-1-216 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPleural effusion has been reported as an infrequent complication of cirrhosis of the liver.1-8 It has been variously ascribed to coincidental tuberculosis or cardiac failure, to increase in capillary permeability, to hydrothorax as part of the generalized edema, to perihepatitis with spread to pleura and to ascitic fluid pressure causing insufficient pleural and pulmonary venous drainage.In Ratnoff and Patek's series1of 386 cases of Laennec's cirrhosis, there were 25 patients with pleural effusion, 24 of whom had ascites. Of 102 patients with cirrhosis of the liver treated in the Presbyterian Hospital, 15 developed pleural effusion. Of these, eight had...Bibliography1. RatnoffPatek ODAJ: The natural history of Laennec's cirrhosis of the liver, Medicine 21: 207-268, 1942. CrossrefGoogle Scholar2. Taylor F: Cirrhosis of the liver in children, Guy's Hospital Rep. 52: 46, 1895. Google Scholar3. BarjonHenry FL: Des épanchements hémorrhagiques au cours des cirrhoses, Lyon méd. 88: 258, 1898. Google Scholar4. VedelPuech SNA: Considerations sur les épanchements pleuraux au cours de la cirrhoses de Laennec, Bull. Soc. d. sc. med. et biol. de Montpellier 8: 120-136, 1926. Google Scholar5. Goffart M: Étude clinique et biologique des épanchements pleuraux des cirrhotiques, Rev. belge sc. méd. 10: 341, 1938. Google Scholar6. Christian HA: Bloody pleural fluid, an unusual complication of cirrhosis of the liver, Ann. Int. Med. 10: 1621-1623, 1937. LinkGoogle Scholar7. Frothingham JR: Cirrhosis of the liver complicated by persistent right hydrothorax and ascites, New England J. Med. 226: 679-681, 1942. CrossrefGoogle Scholar8. Goodman S: "Pleural ascites," the result of traumatic rupture of the diaphragm in a case of latent hepatic cirrhosis, J. A. M. A. 109: 1980-1982, 1937. CrossrefGoogle Scholar9. MeigsArmstrongHamilton JVSHHH: A further contribution to the syndrome of fibroma of the ovary with fluid in the abdomen and chest—Meigs' syndrome, Am. J. Obst. and Gynec. 46: 19-37, 1943. CrossrefGoogle Scholar10. RubinNovakSquire ICJJJ: Ovarian fibromas and theca-cell tumors: Report of 78 cases with specific reference to production of ascites and hydrothorax (Meigs' syndrome), Am. J. Obst. and Gynec. 48: 601-616, 1944. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New Haven, Connecticut*Received for publication July 3, 1948.From the Department of Medicine, College of Physicians and Surgeons, Columbia University, and the Presbyterian Hospital in the City of New York. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPorous Diaphragm Syndrome with Hepatic Hydrothorax Diagnosed by Decreasing Ascites following Chest Drainage—Report of a Case—Hepatic hydrothorax: clinical review and update on consensus guidelinesSuccessful treatment of thoracoscopic pleurodesis using PGA felt: A case reportPleura and pleural disordersUsefulness of Imaging-Guided Catheter Drainage and Talc Sclerotherapy in Patients with Metastatic Gynecologic Malignancies and Symptomatic Pleural EffusionsAcute Massive Postoperative Pleural Effusion Associated With Asymptomatic Hepatitis C-Induced Cirrhosis of the LiverHepatic HydrothoraxCase Report:Hepatic Hydrothorax Without AscitesPulmonary Aspects of Liver Disease and Liver TransplantationScintigraphic demonstration of a diaphragmatic defect as the cause of massive hydrothorax in cirrhosisPulmonary Aspects of Chronic Liver Disease and Liver TransplantationUnilateral pleural effusion without clinical ascites in Laennec's cirrhosisHepatic Hydrothorax in the Absence of Clinical Ascites: Diagnosis and ManagementMassive Pleural Effusions in Cirrhotic Patients with AscitesUnilateral pleural effusion without ascites in liver cirrhosisLeft pleural effusion in patients with chronic liver disease and ascites prospective study of 22 casesCirrhotic Pleural Effusion in the Absence of AscitesHypoxia and hydrothoraces in a case of liver cirrhosis: correlation of physiological, radiographic, scintigraphic, and pathological findings 1 July 1950Volume 33, Issue 1Page: 216-221KeywordsAscitesCapillariesCirrhosisEdemaHeart failureHospital medicineHydrothoraxLiverPleural effusionSurgeons Issue Published: 1 July 1950 PDF downloadLoading ...