STEROID-RESISTANT MASSIVE PLEURAL EFFUSION IN SARCOIDOSIS: A CASE REPORT

Background - Ascites can occur after hepatic diseases causing dyspnea, coughing and pain. When associated with pleural effusion it can also increase respiratory distress. In a bibliographic survey hydrothorax has been observed in up to 20% of the patients and the kind of treatment is still being discussed. Objective — This case report shows the occurrence of a large volume of ascites and pleural effusion in a cirrhotic patient and his treatment. Methods — Report the case of a patient with hepatic cirrhosis due to chronic alcoholism and massive pleural effusion and ascites. He was submitted to several pleural paracenteses without success. Scintigraphy showed the presence of ascites and confirmed a possible pleuroperitoneal communication. The thoracic surgery group was called and after evaluation it was decided to submit the patient to a pulmonary decortication and chemical pleurodesis. Results — These procedures were carried out with success. The pleural effusion was solved and the treatment of ascites was decided upon because the patient did not accept any surgical procedure. Conclusion - This treatment could be applied to patients with hydrothorax who could not be submitted to a liver transplantation.

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Massive pleural effusion due to IgG-Kappa subtype multiple myeloma: A case report

Respiratory Medicine Case Reports ◽

10.1016/j.rmcr.2019.100984 ◽

2020 ◽

Vol 29 ◽

pp. 100984

Author(s):

Itthiphat Arunsurat ◽

Wipa Reechaipichitkul ◽

Apichart So-Ngern ◽

Piti Ungareevittaya ◽

Nipon Chaisuriya ◽

...

Keyword(s):

Multiple Myeloma ◽

Case Report ◽

Pleural Effusion ◽

Massive Pleural Effusion

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Heart failure presented with massive pleural effusion and mediastinal lymphadenopathy: a rare case report

Bangladesh Journal of Medicine ◽

10.3329/bjmed.v24i2.20223 ◽

2014 ◽

Vol 24 (2) ◽

pp. 86-88

Author(s):

Mohammad Shahidul Islam ◽

Humayara Tabassum ◽

Sharah Jahan ◽

Mohammad Shahin Masud ◽

Muhammad Al Amin ◽

...

Keyword(s):

Heart Failure ◽

Case Report ◽

Pleural Effusion ◽

Ct Scan ◽

Rare Case ◽

Unusual Case ◽

Mediastinal Lymphadenopathy ◽

Common Cause ◽

Massive Pleural Effusion ◽

Rare Case Report

Heart failure may present with diverse manifestation. It is far most common cause of bilateral transudative pleural effusion. In very unusual case, it may present with only massive transudative pleural effusion without cardiomegaly and other features of heart failure such as leg odema, tender hepatomegaly or congested liver. We presented a case that present with massive transudative pleural effusion with mediastinal lymphadenopathy evidenced by CT scan of chest and treated successfully with diuretics. DOI: http://dx.doi.org/10.3329/bjmed.v24i2.20223 Bangladesh J Medicine 2013; 24 : 86-88

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Sarcoidosis of the pleura: A case report

Vojnosanitetski pregled ◽

10.2298/vsp1405506j ◽

2014 ◽

Vol 71 (5) ◽

pp. 506-509 ◽

Cited By ~ 1

Author(s):

Dragana Jovanovic ◽

Violeta Vucinic ◽

Ruza Stevic ◽

Marina Roksandic-Milenkovic ◽

Natalija Samardzic ◽

...

Keyword(s):

Case Report ◽

Pleural Effusion ◽

Rare Case ◽

Definitive Diagnosis ◽

Pleural Effusions ◽

Noncaseating Granuloma ◽

Pleural Thickening ◽

Massive Pleural Effusion ◽

Trapped Lung ◽

Pleural Involvement

Introduction. Pleural involvement is an uncommon manifestation of sarcoidosis. It may manifest as pleural effusion, pneumothorax, pleural thickening and nodules, hydropneumothorax, trapped lung, hemothorax, or chylothorax. The incidence of pleural effusion with sarcoidosis ranges from 0% to 5% but has been reported to be as high as 7.5%. Pleural effusions complicate sarcoidosis in < 3% of patients. Case report. We reported a 64-year-old male patient with chronic multiorgan sarcoidosis. This patient developed pleural sarcoidosis with massive pleural effusion several years after the diagnosis of sarcoidosis. A definitive diagnosis of a sarcoid pleural effusion was based on a biopsy demonstrating noncaseating granuloma. The patient responded well to the treatment (methotrexate and methylprednisolone) with a complete withdrawal of pleural effusion following five weeks of the treatment beginning. Conclusion. The presented patient is a rare case of pleural involvement of sarcoidosis with massive effusion, who responded well to the treatment.

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