2026-06-01T19:21:25Z https://www.peertechzpublications.org/oai-pmh

oai:www.peertechzpublications.org:10.17352/2455-8702.000016 2014-12-18 PTZ.IJCMS:VOL2

Multiple Hepatic Cirrhosis Complications: Left Hepatic Hydrothorax, Upper Gastrointestinal Hemorrhage and Acute Portal Vein Thrombosis: A Case Report Jorge Vidal Hernández Rodríguez Adrián Rodríguez GarcíaOlga Campesino Ramos<p>Hepatic hydrothorax (HH), variceal haemorrhage (VH) and portal vein thrombosis (PVT) are complications associated with hepatic cirrhosis (HC) and involve poor prognosis.&nbsp;</p><p>HH occurs in 4%-17% of cirrhotic patients [1]. Atypical presentations include pleural effusion without ascites and left-sided only effusions. The pathophysiology is believed to involve defects in tendinous diaphragmatic portion. Usual treatment includes diuretics and thoracocentesis, and even transjugular intrahepatic portosystemic shunt (TIPS) and liver transplantation [2]. Among patients with cirrhosis, due to portal hypertension (PH), varices form quite frequently (10% a year, approximately), and about a third of patients with varices will develop VH. PVT is commonly developed in cirrhosis (ultrasonography studies have reported prevalence of 5 to 24 per cent), and is related to unbalanced haemostasis and slowing of portal flow.</p> Imaging Journal of Clinical and Medical Sciences - Peertechz Publications 2014-12-18 Case Report https://doi.org/10.17352/2455-8702.000016 en Copyright © Jorge Vidal Hernández Rodríguez et al.