This protocol addresses portal hypertension in a patient with underlying liver cirrhosis who has developed both ascites and hepatic hydrothorax — a recognised complication in this population. Hydrothorax is common in patients with ascites, and its presence alongside cirrhosis shapes the management approach.
Management in this setting involves a portosystemic shunting intervention, applicable in patients who meet specific prognostic criteria. The full protocol defines which patients are candidates and outlines the complete decision pathway.
Hydrothorax is common in patients with ascites.
TIPS is an excellent therapeutic option for patients with favorable MELD (<15) and is associated with a response rate of nearly 75%.
DOI: 10.1016/j.jceh.2022.03.002
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