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Nuklearmedizin 1991; 30(03): 104-106
DOI: 10.1055/s-0038-1629559
Fallbericht - Case Report
Schattauer GmbH

Hepatischer Hydrothorax ohne Aszites

Hepatic hydrothorax without ascites
H. Schöder
1   Aus der Abteilung für Röntgendiagnostik und Nuklearmedizin, Krankenhaus Am Urban, Berlin, FRG
,
M. Friedrich
1   Aus der Abteilung für Röntgendiagnostik und Nuklearmedizin, Krankenhaus Am Urban, Berlin, FRG
› Author Affiliations
Further Information

Publication History

Eingegangen: 29 November 1990

Publication Date:
05 February 2018 (online)

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A case of hepatic hydrothorax without clinical ascites is reported. The diagnosis was confirmed by intraperitoneal injection of 99mTc-tin colloid: scintigraphic images taken between 5 min and 18 h p.i. demonstrated a oneway transdiaphragmatic flow into the pleural cavity. The therapy consisted of diuretic treatment, pleural drainage and chemical pleurodesis, and resulted in prompt clinical improvement.

Zusammenfassung

Wir berichten über einen Patienten mit rechtsseitigem hepatischen Hydrothorax ohne Nachweis eines Aszites. Die Diagnose wurde nach intraperitonealer Injektion von 99mTc-Zinn-Kolloid gestellt: szintigraphische Aufnahmen zwischen 5 min und 18h p.i. zeigten den transdiaphragmalen Übertritt des markierten Kolloids in den Pleuraraum. Neben einer medikamentösen Therapie mit Diureticis wurden wiederholte Pleurapunktionen und abschließend eine Pleurodese mittels Instillation von Tetrazyklinen durchgeführt. Nach schneller Rekonvaleszenz konnte der Patient wenige Tage später entlassen werden.

 

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