Hartz R S, Bomalaski J, LoCicero J, Murphy R L
J Thorac Cardiovasc Surg. 1984 Jan;87(1):141-3.
The presence of ascitic fluid in the pleural cavity in the absence of peritoneal fluid is rare. We have recently encountered two patients who presented with red-sided pleural effusions and no abdominal ascites. Both patients had diaphragmatic defects: One was an old traumatic diaphragmatic tear and the other a pinpoint spontaneous perforation. These cases are unique because the diagnosis of total ascitic fluid movement across the diaphragm was made during life, and the condition was surgically corrected. The literature concerning transdiaphragmatic movement of fluid is reviewed, and an operative approach is outlined.
在无腹腔积液的情况下，胸腔内出现腹水的情况较为罕见。我们最近遇到了两名患者，他们均表现为右侧胸腔积液且无腹水。两名患者均存在膈肌缺损：一例为陈旧性外伤性膈肌撕裂，另一例为微小的自发性穿孔。这些病例很独特，因为在患者生前就诊断出了腹水完全通过膈肌移动，并且通过手术对该病症进行了矫正。本文回顾了有关液体跨膈肌移动的文献，并概述了手术方法。
