J Yeungnam Med Sci.  2023 Jul;40(3):315-316. 10.12701/jyms.2023.00262.

Effective treatment of empyema thoracis caused by a ruptured large hepatic cyst

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine, Daegu, Korea
  • 2Department of Anesthesiology and Pain Medicine, Yeungnam University College of Medicine, Daegu, Korea


Figure

  • Fig. 1. (A) Hepatic cyst (10 cm, arrow) noted by abdominal computed tomography (CT) 10 years ago. (B) CT scan taken at the internal medicine outpatient department 1 month before the visit to the emergency room shows the existing hepatic cyst enlarged to approximately 19 cm (arrow). (C) Abdominal CT at the time of admission to the emergency room shows a large amount of pleural effusion (arrow) and the hepatic cyst (arrowhead), which is significantly smaller than 1 month earlier. (D) One week after chest tube insertion, CT scan shows that most of the pleural effusion has drained, and the giant hepatic cyst has disappeared.


Reference

References

1. Peterson M, Aboudara M. Hepatic cystopleural fistula. Am J Respir Crit Care Med. 2014; 189:e4–6.
2. Ikeda M, Hatakeyama Y, Murakami S, Hashimoto R, Tauchi S, Yonekura Y, et al. Surgical repair of hepatic hydrothorax caused by diaphragmatic fistula. Respir Med Case Rep. 2020; 32:101325.
3. AlGhamdi ZM, Boumarah DN, Alshammary S, Elbawab H. Pleural empyema as a complication of pyogenic liver abscess: can the minimum achieve the optimal? A comparison of 3 approaches. Am J Case Rep. 2021; 22:e935169.
4. Kim DH. Empyema caused by transdiaphragmatic extension of pyogenic liver abscess. Clin Case Rep. 2018; 7:240–1.
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