RT Journal Article
SR Electronic
T1 The squirting bleb: image and treatment of inspiration-linked leakage of a peritoneopleural fistula
JF Thorax
JO Thorax
FD BMJ Publishing Group Ltd and British Thoracic Society
SP 353
OP 354
DO 10.1136/thx.2003.005488
VO 59
IS 4
A1 F H Krouwels
A1 P Bresser
YR 2004
UL http://thorax.bmj.com/content/59/4/353.abstract
AB 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.