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Novel treatment (new drug/intervention; established drug/procedure in new situation)
Use of Tunneled Pleural Catheters for the management of Refractory Hepatic Hydrothorax
  1. Raj Shah1,
  2. Laura Succony2,
  3. Shafick Gareeboo3
  1. 1Department of Gastroenterology and Hepatology, NHS, Stevenage, UK
  2. 2Department of General and Respiratory Medicine, NHS, Stevenage, UK
  3. 3Respiratory Department, Ealing Hospital, London, UK
  1. Correspondence to Dr Raj Shah, raj.shah{at}


Hepatic hydrothorax is a complication seen in up to 10% of patients with advanced liver disease, which typically presents with recurrent pleural effusions. Current available therapeutic options are limited. We demonstrate this condition in a 52-year-old female, and discuss the diagnostic and management difficulties we encountered. Through introducing an intrapleural catheter we successfully enabled resolution of symptoms, reduced hospital admissions and significantly improved our patient’s quality of life, with no recurrence of an effusion at 9-month follow-up.

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  • Competing interests None.

  • Patient consent Obtained.

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