ALTHOUGH the first description of massive hydrothorax occurring in a case of cirrhosis of the liver has been attributed to Laennec, it has since received scant clinical attention. As a result, its development frequently transforms an otherwise obvious case of cirrhosis of the liver into a puzzling diagnostic problem. It has been cited by Vedel and Puech1 as occurring in 8 to 9 per cent of all cases of cirrhosis of the liver. However, these authors arrived at this relatively high incidence by the inclusion of cirrhotic patients having tuberculous or cardiac pleural effusions. Few reports are available in which the complicating causes for hydrothrax have all been demonstrated to be absent.
Gaffart2 and Benedetti3 each reported a small series of cases of cirrhosis with hydrothorax and attempted to exclude the more usual causes of hydrothorax. Christian4 reported a case of hydrothorax on the left side
Thank you for submitting a comment on this article. It will be reviewed by JAMA Internal Medicine editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 33
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.