Porous diaphragm syndrome with repeated rapid accumulation of pleural effusion.
نویسندگان
چکیده
A 53-year-old woman was admitted with right massive transudative pleural effusion and acute renal failure. The amount of pleural fluid reduced in response to treatment with hydration and diuretics; however, the effusion recurred one month later. We suspected the presence of a right pleuroperitoneal communication allowing pleural fluid to accumulate from an origin of ascites triggered by renal failure. Chest computed tomography following pleural drainage revealed a small nodule in the right upper lobe of the lung. A diagnosis of T1aN0M0 lung adenocarcinoma was made based on the results of various examinations, including bronchoscopy. Video-assisted thoracoscopic surgery was performed, and the presence of a small hole communicating between the pleural and peritoneal cavities was confirmed in the right diaphragm during the surgery.
منابع مشابه
A Case with Severe Endometriosis, Ovarian Hyperstimulation Syndrome, and Isolated Unilateral Pleural Effusion after IVF
We present a very rare case of right-sided isolated pleural effusion in a patient with severe endometriosis who, in relation to in vitro fertilization (IVF), developed ovarian hyperstimulation syndrome (OHSS). Earlier laparotomy showed grade IV endometriosis including endometriotic implants of the diaphragm. The patient had no known risk factors for OHSS and only a moderate number of oocytes as...
متن کاملConservative Management in a Ventilated Preterm Neonate with Pneumopericardium, Pleural Effusion, and Pulmonary Collapse: A Case Report
Background: Neonatal pneumopericardium (PPC) is a rare clinical condition usually associated with other air leak syndromes. It increases morbidity and mortality due to cardiac tamponade. Case report: A preterm male neonate weighing 1260 g was born with the gestational age of 28 weeks. Cardiopulmonary resuscitation was routinely performed without any medical therapy. The newborn was transferred ...
متن کاملFrequency and Causes of Fluid Accumulation in the Pleural Space in the Patients Admitted to Teaching Hospitals in Hamedan City during 5 Years
Introduction: Occurrence of pleural effusion occurs in both hospitalized and outpatients. Recognizing the most important and common causes of pleural effusion in each region and in different communities can be a useful step in early and timely diagnosis of the causes and, consequently, timely treatment and thus reducing the time and burden of diagnostic and therapeutic costs imposed on patients...
متن کاملThe curious right-sided predominance of peritoneal dialysis-related hydrothorax
A known complication of peritoneal dialysis is the movement of dialysate into the pleural space, termed hydrothorax. Peritoneal dialysis-related hydrothorax is almost uniformly right-sided and represents one of many presentations of the porous diaphragm syndrome. In addition to diaphragm porosity, the inherent intestinal circulation, lower hydrostatic pressure in the right upper quadrant and li...
متن کاملBleomycin in the treatment of 50 cases with malignant pleural effusion
Background: Patients with symptomatic malignant pleural effusion (MPE) may gain profit from pleurodesis for relief of dyspnea and in preventing the accumulation of fluid or air in the pleural space. Pleurodesis methods are palliative and regard the patient's symptoms and underlying disease condition that are different. The purpose of this study was to assess the efficacy of bleomycin in the tre...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Internal medicine
دوره 53 10 شماره
صفحات -
تاریخ انتشار 2014