The squirting bleb: image and treatment of inspiration-linked leakage of a peritoneopleural fistula.
case_report · Level V
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- Record sourced from PubMed, PMID 15047963.
- Also identified by PMC identifier 1763799.
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Abstract
A 25 year old man with known chronic right sided heart failure and ascites due to a congenital heart defect presented with dyspnoea and a massive pleural effusion. Thoracoscopy revealed two diaphragmatic blebs. Changes in peritoneal and thoracic pressure during respiration resulted in periodic squirting of a ruptured bleb, illustrating preferential flow of peritoneal fluid into the thorax. The pleural effusion was successfully treated with drainage of ascitic fluid and chemical pleurodesis.
Medical subject headings
- Diaphragm
- Fistula
- Peritoneal Diseases
- Pleural Diseases