Multiple Hepatic Cirrhosis Complications: Left Hepatic Hydrothorax, Upper Gastrointestinal Hemorrhage and Acute Portal Vein Thrombosis: A Case Report

Jorge Vidal Hernández Rodríguez*, Adrián Rodríguez García and Olga Campesino Ramos

Hepatic hydrothorax (HH), variceal haemorrhage (VH) and portal vein thrombosis (PVT) are complications associated with hepatic cirrhosis (HC) and involve poor prognosis. 

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.

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Published on: Dec 18, 2014 Pages: 2-3

Full Text PDF Full Text HTML DOI: 10.17352/2455-8702.000016
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