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Chylothorax in the context of alcoholic cirrhosis of the liver

Bibliographic Details
Main Author: Freitas, Ricardo
Publication Date: 2008
Other Authors: Ceymelin Jones, Jessica, Aragão, António, Ferrão, José, Saldanha, Maria Helena
Format: Article
Language: por
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: https://revista.spmi.pt/index.php/rpmi/article/view/1461
Summary: The authors present the case of a 70 year-old patient, with a story of chronic alcohol abuse and pulmonary tuberculosis in the past, admitted to hospital for pleural effusion. Physical examination showed jaundiced, decrease of breath sounds in the left hemithorax and abdominal prominence with flank tenderness. Abdominal ultrasound showed ascites and pleural effusion. Thoracocentesis revealed pleural fluid with characteristics of a transudative milky effusion. Liver biopsy showed a micronodular cirrhosis pattern. The option for Transjugular Intrahepatic Portosystemic Shunt (T.I.P.S.) resulted very well, and the patient remains clinically stable twelve months after its placement.
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spelling Chylothorax in the context of alcoholic cirrhosis of the liverQuilotórax no contexto de cirrose hepática etílicaquilotoraxShunt portosistémico intra-hepático transjugular (TIPS)derrame pleuralPleural effusionPortosystemic Shunt (T.I.P.S.)ChylotoraxThe authors present the case of a 70 year-old patient, with a story of chronic alcohol abuse and pulmonary tuberculosis in the past, admitted to hospital for pleural effusion. Physical examination showed jaundiced, decrease of breath sounds in the left hemithorax and abdominal prominence with flank tenderness. Abdominal ultrasound showed ascites and pleural effusion. Thoracocentesis revealed pleural fluid with characteristics of a transudative milky effusion. Liver biopsy showed a micronodular cirrhosis pattern. The option for Transjugular Intrahepatic Portosystemic Shunt (T.I.P.S.) resulted very well, and the patient remains clinically stable twelve months after its placement.Os autores apresentam o caso de um doente do sexo masculino, 70 anos de idade, internado por quadro de derrame pleural recidivante com três meses de evolução. Clinicamente referia queixas de astenia, dispneia, emagrecimento e distensão abdominal de agravamento progressivo. Antecedentes de tuberculose pulmonar e hábitos etílicos. Ao exame objectivo apresentava icterícia cutâneo-mucosa, diminuição do murmúrio vesicular no hemitórax esquerdo e abdómen com macissez nos flancos. Imagiologicamente, evidenciava derrame pleural bilateral e peritoneal. A toracocentese revelou líquido de aspecto quiloso, transudado. A biopsia hepática mostrou uma cirrose hepática micronodular. Atendendo ao quadro clínico e imagiológico apresentado foi decidida a colocação de shunt porto-sistémico intra-hepático transjugular (TIPS), verificando-se resolução do quadro clínico. Ao fim de 12 meses o doente encontra-se clinicamente bem.Sociedade Portuguesa de Medicina Interna2008-06-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spmi.pt/index.php/rpmi/article/view/1461Internal Medicine; Vol. 15 No. 2 (2008): Abril/ Junho; 124-130Medicina Interna; Vol. 15 N.º 2 (2008): Abril/ Junho; 124-1302183-99800872-671Xreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/1461https://revista.spmi.pt/index.php/rpmi/article/view/1461/1008Freitas, RicardoCeymelin Jones, JessicaAragão, AntónioFerrão, JoséSaldanha, Maria Helenainfo:eu-repo/semantics/openAccess2023-01-07T06:10:39Zoai:oai.revista.spmi.pt:article/1461Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T10:46:16.505458Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Chylothorax in the context of alcoholic cirrhosis of the liver
Quilotórax no contexto de cirrose hepática etílica
title Chylothorax in the context of alcoholic cirrhosis of the liver
spellingShingle Chylothorax in the context of alcoholic cirrhosis of the liver
Freitas, Ricardo
quilotorax
Shunt portosistémico intra-hepático transjugular (TIPS)
derrame pleural
Pleural effusion
Portosystemic Shunt (T.I.P.S.)
Chylotorax
title_short Chylothorax in the context of alcoholic cirrhosis of the liver
title_full Chylothorax in the context of alcoholic cirrhosis of the liver
title_fullStr Chylothorax in the context of alcoholic cirrhosis of the liver
title_full_unstemmed Chylothorax in the context of alcoholic cirrhosis of the liver
title_sort Chylothorax in the context of alcoholic cirrhosis of the liver
author Freitas, Ricardo
author_facet Freitas, Ricardo
Ceymelin Jones, Jessica
Aragão, António
Ferrão, José
Saldanha, Maria Helena
author_role author
author2 Ceymelin Jones, Jessica
Aragão, António
Ferrão, José
Saldanha, Maria Helena
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Freitas, Ricardo
Ceymelin Jones, Jessica
Aragão, António
Ferrão, José
Saldanha, Maria Helena
dc.subject.por.fl_str_mv quilotorax
Shunt portosistémico intra-hepático transjugular (TIPS)
derrame pleural
Pleural effusion
Portosystemic Shunt (T.I.P.S.)
Chylotorax
topic quilotorax
Shunt portosistémico intra-hepático transjugular (TIPS)
derrame pleural
Pleural effusion
Portosystemic Shunt (T.I.P.S.)
Chylotorax
description The authors present the case of a 70 year-old patient, with a story of chronic alcohol abuse and pulmonary tuberculosis in the past, admitted to hospital for pleural effusion. Physical examination showed jaundiced, decrease of breath sounds in the left hemithorax and abdominal prominence with flank tenderness. Abdominal ultrasound showed ascites and pleural effusion. Thoracocentesis revealed pleural fluid with characteristics of a transudative milky effusion. Liver biopsy showed a micronodular cirrhosis pattern. The option for Transjugular Intrahepatic Portosystemic Shunt (T.I.P.S.) resulted very well, and the patient remains clinically stable twelve months after its placement.
publishDate 2008
dc.date.none.fl_str_mv 2008-06-30
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revista.spmi.pt/index.php/rpmi/article/view/1461
url https://revista.spmi.pt/index.php/rpmi/article/view/1461
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revista.spmi.pt/index.php/rpmi/article/view/1461
https://revista.spmi.pt/index.php/rpmi/article/view/1461/1008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Interna
publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Interna
dc.source.none.fl_str_mv Internal Medicine; Vol. 15 No. 2 (2008): Abril/ Junho; 124-130
Medicina Interna; Vol. 15 N.º 2 (2008): Abril/ Junho; 124-130
2183-9980
0872-671X
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
_version_ 1833591220038795264

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