Loeza-Irigoyen JA, Muñoz-Guzmán Y, Pérez-Guzmán C, Gutiérrez-Mendoza I

Language: Spanish
References: 33
Page: 453-458
PDF size: 103.34 Kb.

ABSTRACT

Background: chronic alcoholic liver disease (EHAC) associates to recurrent pleural effusion. Generally thoracocentesis is not performed for considering this fluid a trasudate. Our objective was to determine the usefulness of thoracocentesis and causes of recurrent pleural effusion.
Methods: we analyzed samples of pleural fluid of patients with chronic alcoholic liver disease, recurrent pleural effusion and respiratory failure. Blood tests, chest x-rays and pleural fluid analyses were evaluated.
Results: we included 27 cases. Mean age of patients was › 60 year old, mean evolution time of liver disease was ~ 4 years. 55.6 % were exudates and 44.4 % trasudates. Causes of recurrent pleural effusion were portal hypertension in 12 (44.4 %) cases. In patients with exudate, the origin was infectious in 8 (29.6 %) cases; in 4 (14.8 %) the cause was malignancy; one more with pulmonary embolism, and in other two patients the cause was not identified.
Conclusions: we found that more than half of patients with chronic alcoholic liver disease and recurrent pleural effusion was an exudate, thus thoracocentesis should be frequently performed in these patients.

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