Showing papers on "Hydrothorax published in 1992"
TL;DR: Pulmonary edema and hydrothorax were observed in mature swine that died approximately 5 days after consuming corn screenings and induced in a pig that died after receiving 4 daily intravenous injections of fumonisin B1, a toxic metabolite produced by Fusarium moniliforme.
Abstract: Pulmonary edema and hydrothorax were observed in mature swine that died approximately 5 days after consuming corn screenings. These postmortem observations were reproduced in younger pigs that died within 1 week when fed the corn screenings under experimental conditions. Additionally, pulmonary edema and hydrothorax were induced in a pig that died after receiving 4 daily intravenous injections of fumonisin B1, a toxic metabolite produced by Fusarium moniliforme.
189 citations
TL;DR: Uterine leiomyoma associated with ascites and hydrothorax was apparently cured by total hysterectomy in a patient with severe curvature of the spine and dorsolumbar scoliosis.
Abstract: Uterine leiomyoma associated with ascites and hydrothorax was apparently cured by total hysterectomy. This is believed to be the 15th recorded case of this type of Pseudo-Meigs' syndrome and the first in a patient with severe curvature of the spine and dorsolumbar scoliosis. The association with ascites and hydrothorax was investigated using 99mTc-labeled macroaggregated albumin.
41 citations
TL;DR: The data suggest that the heart was in a stage of compensated hypertrophy for up to 10 weeks, whereas heart failure was seen at 20 weeks, which makes this model appropriate for studies on the transition of hearthypertrophy to congestive heart failure.
36 citations
TL;DR: A right pleural fluid collection in a patient with a CVC tip in the right subclavian vein is a serious problem, which may be solved with repositioning of the CVC instead of removal.
Abstract: Central venous catheters (CVCs) have become more common in the care of very low birthweight newborns. Nutrition is enhanced, fluid delivery is more secure, and stress from the intervention of starting new IVs is reduced. Complications of these devices include infection, thrombus or embolus, damage to vessels and organs, and extravascular collections of fluid. Pleural fluid collections can occur due to superior vena caval obstruction with obstruction of lymphatic drainage, and erosion or perforation of the catheter through the vein into the pleural space. Three infants weighing less than 1000 gm had CVCs placed in an antecubital vein. Severe respiratory compromise developed in 1 at 5, 1 at 6, and 1 at 40 hours after line placement, and chest radiograph suggested fluid in the right pleural space. Milky fluid was found in two cases in which the infants received lipid emulsion and parenteral nutrition fluid (PNF). Bright yellow fluid, resembling PNF, was found in the third, not receiving lipids. None of the patients was enterally fed. The tips of the CVCs were adjusted to a more peripheral location and there was no recurrence of pleural fluid, nor were signs of superior vena cava syndrome seen. Etiologies for the unilateral hydrothorax include vein perforation and erosion, but another cause is discussed. A right pleural fluid collection in a patient with a CVC tip in the right subclavian vein is a serious problem, which may be solved with repositioning of the CVC instead of removal.
29 citations
TL;DR: The prenatal course and outcome of 11 fetuses with isolated unilateral or bilateral hydro thoraces identified between 14 and 34 weeks' gestation, in the absence of invasive fetal intervention, shows a tendency to complete resolution of primary unilateral fetal hydrothorax, with good outcome, particularly in second‐trimester fetuses without polyhydramnios.
Abstract: We reviewed the prenatal course and outcome of 11 fetuses with isolated unilateral or bilateral hydro thoraces identified between 14 and 34 weeks' gestation, in the absence of invasive fetal intervention. Four of these fetuses died, three in utero and one in the newborn period. Six of seven survivors had resolution of hydrothorax before birth. Eight of the 11 fetuses had unilateral and three bilateral hydrothoraces. Six of the eight fetuses with unilateral hydrothorax survived, whereas one of the three with bilateral hydrothoraces lived. Six of the 11 pregnancies were complicated by polyhydramnios; four of these six fetuses died. One fetus was found to have trisomy 21. It is difficult to draw firm conclusions from the small number of patients in this report because of the wide range of outcomes found for the sonographic variables described. This series shows, however, a tendency to complete resolution of primary unilateral fetal hydrothorax, with good outcome, particularly in second-trimester fetuses without polyhydramnios. Copyright © 1992 International Society of Ultrasound in Obstetrics and Gynecology
22 citations
TL;DR: Emergency prenatal therapy may reverse fetal distress in utero, allowing time for delivery of uncompromised infants if possible after a complete evaluation of nonimmune hydrops.
21 citations
TL;DR: Preoperative evaluation of the patient with ascites and a pelvic mass may suggest malignancy, but histologic confirmation is necessary to exclude this rare association with ovarian thecoma without hydrothorax.
19 citations
TL;DR: In anesthetised rabbits with a 2 ml hypertonic mannitol-Ringer hydrothorax in the right space 30 mM/LMannitol were required for an unchanged volume of the hydroth orax after 60 min, providing further evidence for an active transport without using inhibitors, and implies that the mesothelium offers an appreciable resistance to small solute diffusion.
18 citations
14 citations
TL;DR: A case of hepatic hydrothorax is discussed which illustrates a large diaphragmatic defect as the cause of ascitic fluid passing into the pleural cavity.
Abstract: Hepatic hydrothorax is an infrequent complication of cirrhosis. The source of pleural fluid has been the subject of considerable speculation. A case of hepatic hydrothorax is discussed which illustrates a large diaphragmatic defect as the cause of ascitic fluid passing into the pleural cavity.
10 citations
Journal Article•
TL;DR: In utero, and sometimes post-natal, evacuation of fluid present in the thoracic and peritoneal cavities can be necessary, depending of the functional tolerance.
Abstract: BACKGROUND: Chylous effusions are the most frequent cause of non immunologic hydrops fetalis. They can be recognized antenatally by ultrasonography. Their evacuation is sometimes necessary and medical treatment often effective. CASE REPORTS: Case n. 1: fetal ascites was detected by ultrasonography at the 30th week of gestation. Paracentesis was performed at 36 weeks, followed 3 days later by spontaneous delivery. The newborn was fed milk formula. A second paracentesis showed a milky fluid, rich in cholesterol, triglycerides and chylomicrons. The child was fed formula rich in medium-chain triglycerides and the chylous ascites disappeared completely within 2 weeks. Case n. 2: a diagnosis of bilateral hydrothorax and hydramnios was made at the 27th week of gestation. An in utero evacuation of the hydrothorax performed at the 30th week was ineffective and a pleuro-amniotic drainage was performed 2 weeks later. The baby was born at the 35th week, and presented a moderate respiratory distress due to the hydrothorax and ascites. Aspiration of the thoracic fluid confirmed its chylous origin. The chylous effusions completely disappeared when the child was fed a high medium chain triglycerides diet. A lymphedema of legs appeared at the age of 1 month. Case n. 3: ascites, hydramnios, hydrothorax and peripheral edema were found at the 21st week of a third pregnancy (the 2 first pregnancies were complicated by lethal hydrops fetalis). Bilateral hydrothorax and peripheral edema were found again after birth at the 37th week. Diuresis and albumin-infusion led to recovery, but chylothorax and chylous ascites reaccumulated after introduction of milk formula, despite repeated evacuations and feeding medium-chain triglycerides formula. The thoracic fluid remains chylous at the age of 9 months. CONCLUSIONS: In utero, and sometimes post-natal, evacuation of fluid present in the thoracic and peritoneal cavities can be necessary, depending of the functional tolerance. Medical management including feeding a low fat and/or high medium-chain triglycerides diet, and sometimes temporary total parental nutrition, is necessary, together with salt restriction, diuresis and albumin infusion as required. Most cases recover spontaneously or as a result of therapy within a few weeks.
TL;DR: This is the first case of JGCT associated with an acute respiratory emergency as a main clinical feature and Histological examination showed no evidence of invasion or peritoneal metastasis.
Journal Article•
TL;DR: Two cases of pleural effusion in which a subdiaphragmatic cause was noted are reported, and it is postulated that the normal lymphatic pathway through the right hemidiaphragm could have been stopped by pleural sequelae from right lobectomy.
Abstract: We report two cases of pleural effusion in which a subdiaphragmatic cause was noted In both cases it was necessary to obliterate a defect in the diaphragm via a thoracic incision In one case, a left chylothorax occurred in a patient with hepatic cirrhosis In this case, it was postulated that the normal lymphatic pathway through the right hemidiaphragm could have been stopped by pleural sequelae from right lobectomy In the other case, a right pleural effusion occurred after peritoneal dialysis It is a well known pathological entity: the structural defect can be observed by separation of collagen bundles in the tendinous diaphragm This type of pleuro-peritoneal communication is well known in women suffering from menstrual pneumothorax or in patients treated by peritoneal dialysis
TL;DR: A 39-year-old woman admitted to the hospital because of constipation and diarrhea was diagnosed as having a rectal cancer and operation was performed, and pleural effusion, ascites, and a ovarian tumor were found.
Abstract: True Meig's syndrome is characterized by ascites and hydrothorax associated with a fibroma of the ovaries, which disappear immediately after the ovarian tumor is excised. If a pelvic tumor other than fibroma is associated, it is called pseudo Meig's syndrome.A 39-year-old woman was admitted to the hospital because of constipation and diarrhea. Based on digital examination and barium enema, she was diagnosed as having a rectal cancer. During examination of any metastases to other organs, pleural effusion, ascites, and a ovarian tumor were found. A diagnosis of metastases to the ovary and peritoneum from the rectal cancer was made, and operation was performed. During surgery no metastasis in the liver and peritoneum was found and a Krukenberg tumor was seen in the right ovary. Abdominoperineal excision of the rectum and right-lateral oophorectomy were carried out. In an early period after surgery pleural effusion and ascites were rapidly resolved, that might demonstrate this case was Meig's syndrome in a broad sense.
TL;DR: A case is presented that illustrates the need for adherence to a standard procedure of prompt roentgenologic examination in conjunction with catheterization, and emphasizes the importance of the autopsy as a means of quality assurance.
Abstract: A rare iatrogenic complication of subclavian vein catheterization for hemodialysis is massive hydrothorax. A case is presented that illustrates the need for adherence to a standard procedure of prompt roentgenologic examination in conjunction with catheterization, and emphasizes the importance of the autopsy as a means of quality assurance.
TL;DR: A case in which severe unilateral primary fetal hydrothorax was visualized at 28 weeks' gestation and two weeks later bilateral primary fetal Hydrocephalus was documented, which resulted in a normal neonate with no signs of pulmonary hypoplasia.
Journal Article•
TL;DR: Four cases of hepatic hydrothorax which frequently conditions respiratory insufficiency were successfully treated using pleurodesis with sterile talc with no major complications.
Abstract: Hepatic hydrothorax is a complication of hepatic cirrhosis which frequently conditions respiratory insufficiency. Traditional therapy is almost always inefficacious. The paper reports four cases which were successfully treated using pleurodesis with sterile talc. Treatment was simple with no major complications. At the 6-month check-up no cases of recurrent pleural effusion were observed.
TL;DR: The diagnosis and management of two cases of life-threatening hydrothorax resulting from delayed erosion of the venous wall by the central venous catheters are described.
Abstract: Catheters are often inserted percutaneously into a central vein in critically ill infants and children to permit measurement of central venous pressure and rapid administration of fluids. Insertion and use of these catheters may be complicated by pneumothorax, air embolisation, arterial puncture thrombosis, cellulitis, and septicaemia. I ,2 Perforation of the vein by the catheter tip is an infrequent occurrence. When this does happen, haemothorax, hydrothorax, or hydro mediastinum may result.3 Hydrothorax may sometimes occur even if the catheter tip was initially placed correctly and the catheter functioned properly. This report describes the diagnosis and management of two cases of life-threatening hydrothorax resulting from delayed erosion of the venous wall by the central venous catheters.
Journal Article•
TL;DR: Myocardial fibrosis and degeneration of unknown etiology is described in two adult, female goats of the Saanen and Pfauen breeds that presented with clinical signs of cardiac failure with subcutaneous edema, hydrothorax and ascites.
Abstract: Myocardial fibrosis and degeneration of unknown etiology is described in two adult, female goats of the Saanen and Pfauen breeds. Both animals presented with clinical signs of cardiac failure with subcutaneous edema, hydrothorax and ascites. The pathological lesions were characterized by cardiomegaly with ventricular and auricular dilatation and hypertrophy, massive subcutaneous edema and body cavity edema. The first goat additionally showed chronic liver congestion due to cardiac failure. Histologically, the most prominent changes were focally extensive cardiomyocyte degeneration and cardiac fibrosis. The clinical history and pathologic lesions are comparable to those of dilatative cardiomyopathy in SixRH cattle.
Journal Article•
TL;DR: A 78-year-old female admitted to the authors' hospital because of severe dyspnea and palpitation and Pl-V shunting is thought to be useful for such a patient with massive pleural effusion which failed to respond to medical therapy.
Abstract: We reported a successful pleuro-venous shunt operation (Pl-V shunt) for a patient of liver cirrhosis with secondary hydrothorax. A 78-year-old female was admitted to our hospital because of severe dyspnea and palpitation. Chest x-ray film revealed right sided massive pleural effusion. Over several weeks the chest tube drainaged about 1,500 ml of transudative fluid per day. We performed Pl-V shunting and pleural effusion subsequently decreased in amount and dyspnea disappeared. This Pl-V shunting is thought to be useful for such a patient with massive pleural effusion which failed to respond to medical therapy.
Journal Article•
TL;DR: By insertion a peritoneo-venous shunt described by LeVeen the clinical picture was improved, and the patient no longe required further pleural aspiration.
Abstract: We admitted a 60 year old patient with severe right hydrothorax. He was known to suffer from decompensated non-alcoholic cirrhosis. His invaliding dyspnea was only temporarily improved by repeated thoracocentesis, due to the very rapid refilling of the thorax from the ascites; until the development of a "tension hydrothorax" with dangerous mediastinal deviation. By insertion a peritoneo-venous shunt described by LeVeen the clinical picture was improved, and the patient no longe required further pleural aspiration. Six per cent of cases of ascites complicating hepatic cirrhosis may be associated with hydrothorax of the same origin. The diaphragm is normally perforated by a multitude of tiny virtual holes, closed by the peritoneum and the thoracic pleura. The high intra-abdominal pressure in ascites tears these fragile membranes, and allows the peritoneal fluid to overflow into the pleural cavity. Usually treated by fluid restriction and diuretics, when this condition becomes intractable or when a tension hydrothorax appears, interfering with respiratory function a LeVeen peritoneo-venous shunt should be inserted.
TL;DR: In this paper, the authors describe a case which was atypical in that ascites and hydrothorax occurred despite the absence of ovarian enlargement, which is a potentially lethal complication of treatment with in vitro fertilization and other assisted reproductive technologies.
Abstract: Severe ovarian hyperstimulation syndrome is an uncommon but potentially lethal complication of treatment with in vitro fertilization and other assisted reproductive technologies. We describe such a case which was atypical in that ascites and hydrothorax occurred despite the absence of ovarian enlargement. Whilst the pathophysiology of the syndrome remains unclear, the clinician must remain alert to the possibility of such an unusual presentation of this syndrome.
Journal Article•
TL;DR: In this article, the authors proposed a method to solve the problem of the problem: image-based clustering, image clustering and clustering of images, and image segmentation.
Abstract: ImagesFig 1Fig 2
01 Jan 1992
TL;DR: A postmenopausal patient presented with a pelvic mass and ascites, and transvaginal color Doppler sonography of the tumor vasculature suggested malignancy, but histologic confirmation is necessary to exclude this rare association.
Abstract: A postmenopausal patient presented with a pelvic mass and ascites. The CA-125 level was 329 U/ml, and transvaginal color Doppler sonography of the tumor vasculature suggested malignancy. At laparotomy, a luteinized thecoma and cytologically benign ascites were found. On rare occasions ovarian thecoma may be associated with ascites without hydrothorax. Preoperative evaluation of the patient with ascites and a pelvic mass may suggest malignancy, but histologic confirmation is necessary to exclude this rare association. o 1992 Academic press, h.
TL;DR: A case of spontaneous rupture of the esophagus with a gastric cancer, which was successfully cured by conservative therapy, is experienced and a 65-year-old man was treated conservatively and cured.
Abstract: A case of spontaneous rupture of the esophagus with a gastric cancer, which was successfully cured by conservative therapy, is experienced. A 65-year-old man was seen at the hospital because of sudden onset of hematemesis. By emergency CT and endoscopic examination, an advanced gastric cancer and hydrothorax were found. An emergency operation was performed. Esophagography after partial gastrectomy revealed a leakage in the lower portion of the esophagus. A diagnosis of spontaneous rupture of the esophagus with its resultant pyothorax was made. Because of his poor pyothorax condition after the operation, he was treated conservatively and cured.As a general rule, spontaneous rupture of the esophagus requires early diagnosis and emergency surgical management. However for patients in poor general condition like this case, conservative therapy should be selected.