Ito Kenta, Hachisu Yoshimasa, Shibasaki Mitsuhiko, Ezawa Kazuma, Iwashita Hiroshi, Jingu Asuka, Arai Hirotaka, Horie Takeo, Takise Atsushi
Department of Respiratory Medicine, Maebashi Red Cross Hospital, 389-1, Asakura-Machi, Maebashi 371-0811, Japan.
Department of Gastroenterology, Maebashi Red Cross Hospital, 389-1, Asakura-Machi, Maebashi 371-0811, Japan.
Clin Pract. 2021 Sep 3;11(3):582-586. doi: 10.3390/clinpract11030073.
A 71-year-old man visited our hospital with dyspnea and left pleural effusion. Left pleural effusion was diagnosed as chylothorax by thoracentesis. He had no history of trauma or surgery, and there were no findings of malignant lymphoma or thrombosis. Furthermore, he was diagnosed with liver cirrhosis and hepatocellular carcinoma by computed tomography and hematological examinations, and the chylothorax was considered to be caused by liver cirrhosis. We report a review of the literature with this case since it is relatively rare for cirrhosis and hepatocellular carcinoma diagnosed from chylothorax.
一名71岁男性因呼吸困难和左侧胸腔积液前来我院就诊。经胸腔穿刺术,左侧胸腔积液被诊断为乳糜胸。他没有外伤或手术史,也没有恶性淋巴瘤或血栓形成的迹象。此外,通过计算机断层扫描和血液学检查,他被诊断为肝硬化和肝细胞癌,乳糜胸被认为是由肝硬化引起的。鉴于从乳糜胸诊断出肝硬化和肝细胞癌相对罕见,我们结合该病例对文献进行了综述。