Outcomes of patients with chest tube insertion for hepatic hydrothorax.

Abstract:

PURPOSE:Case reports and small case series have reported a high rate of complications associated with chest tube placement for hepatic hydrothorax. We describe the in-hospital and 3-month outcomes of patients who have had this procedure. METHODS:A retrospective medical record review was performed of all patients admitted to a tertiary care center over a 10-year period with a chest tube placed for hepatic hydrothorax. Demographic data and outcomes were collected and analyzed. RESULTS:Seventeen patients were identified; 12 were taking diuretics and 8 were taking multiple diuretics at the time of admission. MELD score was 14 (range = 7-34). During hospitalization, 16 had at least 1 and 12 had more than 1 complications. The most common complications were acute kidney injury (n = 11), pneumothorax (n = 7), and empyema (n = 5). Two patients died during the index admission and four others within 3 months of that admission. Six of seven patients who received TIPS survived. CONCLUSIONS:Chest tube insertion for hepatic hydrothorax carries significant morbidity and mortality, with questionable benefit.

journal_name

Hepatol Int

journal_title

Hepatology international

authors

Orman ES,Lok AS

doi

10.1007/s12072-009-9136-z

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

582-6

issue

4

eissn

1936-0533

issn

1936-0541

journal_volume

3

pub_type

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