Hepatic hydrothorax (HH) represents a rare complication of portal hypertension among adult cirrhotic patients. Here, we describe a pediatric case of HH, observed in a biliary atresia infant. The child presented with recurrent right-sided pleural effusion, after a successful Kasai portoenterostomy with restoration of bile flow and without overt signs of hepatic failure. Recurrence of HH led the patient to liver transplant despite a low pediatric end-stage liver disease value. Although rare, HH can also occur in children and should be suspected in patients with portal hypertension and respiratory distress. HH may be an indication for liver transplantation.
An Unexpected Hepatic Hydrothorax After a Successful Kasai Portoenterostomy: A Case Report / Ranucci, Giulia; DI DATO, Fabiola; Liccardo, Daniela; Spada, Marco; Maggiore, Giuseppe; Iorio, Raffaele. - In: FRONTIERS IN PEDIATRICS. - ISSN 2296-2360. - 9:(2021), p. 766187. [10.3389/fped.2021.766187]
An Unexpected Hepatic Hydrothorax After a Successful Kasai Portoenterostomy: A Case Report
Fabiola Di DatoSecondo
;Raffaele Iorio
Ultimo
2021
Abstract
Hepatic hydrothorax (HH) represents a rare complication of portal hypertension among adult cirrhotic patients. Here, we describe a pediatric case of HH, observed in a biliary atresia infant. The child presented with recurrent right-sided pleural effusion, after a successful Kasai portoenterostomy with restoration of bile flow and without overt signs of hepatic failure. Recurrence of HH led the patient to liver transplant despite a low pediatric end-stage liver disease value. Although rare, HH can also occur in children and should be suspected in patients with portal hypertension and respiratory distress. HH may be an indication for liver transplantation.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.