Thoracoscopic repair of peritoneopleual communication with a giant diaphragmatic bullae in a patient with liver cirrhosis; report of a case

Masaomi Yamane, S. Kobayashi, A. Kurosaki, N. Nanki, M. Ando, H. Maeda

Research output: Contribution to journalArticle


Hepatic hydrothorax is defined as pleural effusion in patients with a cirrhotic liver. The pleural effusion occurs due to ascites flowing to the pleural cavity through a diaphragmatic communication. Recent literature has described the usefulness of a thoracoscopic repair and has shown that it can control pleural effusion very efficaciously. The patient was a 65-year-old woman who complained of dyspnea and was admitted to our hospital. A chest X-ray revealed marked right pleural effusion. We injected indigo carmine intraperitoneally and observed indigo carmine-colored pleural effusion; thus peritoneopleural communication was validated. After the failure of thoracic drainage and pleurodesis with minocycline hydrochloride, thoracoscopic surgery was performed 5 weeks after hospitalization. Obvious bulla formation was observed on the diaphragm, which was immediately resected with linear staplers. The postoperative course was excellent without any recurrence of pleural effusion.

Original languageEnglish
Pages (from-to)1127-1130
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Issue number12
Publication statusPublished - Nov 2006
Externally publishedYes


ASJC Scopus subject areas

  • Medicine(all)

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