TITLE

The squirting bleb: image and treatment of inspiration-linked leakage of a peritoneopleural fistula

AUTHOR(S)
Krouwels, F. H.; Bresser, P.
PUB. DATE
April 2004
SOURCE
Thorax;Apr2004, Vol. 59 Issue 4, p353
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A 25 year old man with known chronic right sided heart failure and ascites due to a congenital heart defect presented with dyspnoea and a massive pleural effusion. Thoracoscopy revealed two diaphragmatic blebs. Changes in peritoneal and thoracic pressure during respiration resulted in periodic squirting of a ruptured bleb, illustrating preferential flow of peritoneal fluid into the thorax. The pleural effusion was successfully treated with drainage of ascitic fluid and chemical pleurodesis.
ACCESSION #
12948839

 

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