Large diaphragmatic defect as the cause of hydrothorax in a cirrhotic patient: demonstration with peritoneal scintigraphy and magnetic resonance imaging |
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Authors: | Ajmi Sami Hassine Habib Arifa Nadia Karmani Monia Guezguez Mohsen Elajmi Salem Essabbah Habib |
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Affiliation: | Department of Nuclear Medicine, Sahloul's Hospital, Sousse 4054, Tunisia. sami.ajmi@famso.rnu.tn |
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Abstract: | A 52-year-old man with history of post-hepatitic cirrhosis presented with ascitis and respiratory distress. Chest X-ray on admission showed a large right hydrothorax. Thoracentesis yielded a large volume of a clear transudate fluid. Peritoneal scintigraphy showed rapid migration of radiotracer into the right pleural cavity, confirming the abdominal origin of the pleural fluid and suspecting a large diaphragmatic defect. MR imaging study using ultrafast sequences confirmed the large diaphragmatic defect. |
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