Article ; Online: Management of hepatic hydropericardium with open drainage, maximal medical therapy and terlipressin.
BMJ case reports
2024 Volume 17, Issue 1
Abstract: ... on view. The serum ascites albumin gradient was 14 g/L. Maximal medical therapy was commenced including ...
Abstract | We present the case of a woman in her 60s with Child-Pugh C cirrhosis who developed pericardial tamponade during an admission for a haemothorax secondary to a mechanical fall. The patient developed haemodynamic compromise with a rapid decline in renal function. During an open subxiphoid drain tube insertion, a pre-existing peritoneopericardial communication was noted, with ascites in the peritoneal cavity on view. The serum ascites albumin gradient was 14 g/L. Maximal medical therapy was commenced including diuresis and albumin, with adjunctive terlipressin infusion which restored her baseline renal function and resolved the effusion. We believe this is the first case report of using open drainage, maximal medical therapy and terlipressin to successfully treat hepatic hydropericardium and its subsequent renal compromise. |
---|---|
MeSH term(s) | Female ; Humans ; Terlipressin/therapeutic use ; Ascites/drug therapy ; Ascites/etiology ; Kidney ; Liver Cirrhosis/complications ; Pericardial Effusion/complications ; Edema/complications ; Albumins ; Drainage/adverse effects ; Lypressin/therapeutic use |
Chemical Substances | Terlipressin (7Z5X49W53P) ; Albumins ; Lypressin (50-57-7) |
Language | English |
Publishing date | 2024-01-12 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ISSN | 1757-790X |
ISSN (online) | 1757-790X |
DOI | 10.1136/bcr-2023-256908 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.
Inter-library loan at ZB MED
Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.