Miguel C M, Catuogno P, Tiberio D, Mallea Gil M S, Mauro E L, López Gastón A
Servicio de Clínica Médica y de Gastroenterología del Hospital Militar Central de Buenos Aires, Argentina.
Acta Gastroenterol Latinoam. 1995;25(5):291-4.
We present two patients with masive pleural effusion, asociated to cirrhosis. There was no clinical evidence of ascites, and in the first case it didn't even show up in the CT scanning. Al other posible causes were discarded and the therapeutic response was analysed. We evaluated the pathophysiologic mechanisms of the syndrome and we suggest the pneumoperitoneum as a diagnostic procedure which is easy to apply and carries low costs.
我们报告了两名患有大量胸腔积液且与肝硬化相关的患者。没有腹水的临床证据，在第一例病例中，CT扫描甚至都未显示出腹水。所有其他可能的病因均被排除，并对治疗反应进行了分析。我们评估了该综合征的病理生理机制，并建议将气腹作为一种易于实施且成本低廉的诊断方法。
