M. HENRY WILLIAMS JR., M.D.
Pleural effusion has been reported as an infrequent complication of cirrhosis of the liver.1-8 It has been variously ascribed to coincidental tuberculosis or cardiac failure, to increase in capillary permeability, to hydrothorax as part of the generalized edema, to perihepatitis with spread to pleura and to ascitic fluid pressure causing insufficient pleural and pulmonary venous drainage.
In Ratnoff and Patek's series1 of 386 cases of Laennec's cirrhosis, there were 25 patients with pleural effusion, 24 of whom had ascites. Of 102 patients with cirrhosis of the liver treated in the Presbyterian Hospital, 15 developed pleural effusion. Of these, eight had
WILLIAMS MH. PLEURAL EFFUSION PRODUCED BY ABDOMINO-PLEURAL COMMUNICATION IN A PATIENT WITH LAENNEC'S CIRRHOSIS OF THE LIVER AND ASCITES1. Ann Intern Med. ;33:216–221. doi: 10.7326/0003-4819-33-1-216
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Published: Ann Intern Med. 1950;33(1):216-221.
Gastroenterology/Hepatology, Liver Disease, Pulmonary/Critical Care.
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