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Ann Thorac Surg 1997;64:1468-1469
© 1997 The Society of Thoracic Surgeons

Case Report

Videothoracoscopic Treatment of Hepatic Hydrothorax

R. Thomas Temes, MD, Michael S. Davis, MD, Fabrizio M. Follis, MD, Stuart B. Pett, Jr, MD, Jorge A. Wernly, MD

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of New Mexico Health Sciences Center, Albuquerque, New Mexico

Accepted for publication June 1, 1997.

Hepatic hydrothorax occurs frequently in ascites arising from communications in the diaphragm between peritoneal and pleural cavities. Numerous treatments have been described but are of limited utility due to invasiveness and poor success rate. We describe a case of hepatic hydrothorax in which the pore in the diaphragm was documented photographically and in which successful resolution was achieved with videothoracoscopic suture ligation and talc pleurodesis.




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