Key result
Conservative therapies resulted in spontaneous cessation of pleural bleeding, though the patient ultimately died from progressive liver failure.
Why the study?
Do the empty-can and full-can tests accurately diagnose rotator cuff tears in patients with chronic shoulder pain?
Case Report (n=1)
Do the empty-can and full-can tests accurately diagnose rotator cuff tears in patients with chronic shoulder pain?
Both the empty-can and full-can tests are valuable screening tools for detecting rotator cuff tears, though they have modest overall accuracy and the empty-can test is more pain-provocative.
Conservative care may allow spontaneous resolution of pleural bleeding; leaves open optimal management in progressive liver failure.
The term ectopic varices is used to describe dilated portosystemic collateral veins in unusual locations other than the gastroesophageal region. We recently experienced a rare case of ectopic varices that developed in the right diaphragm and ruptured into the pleural cavity. A 68-year-old female with hepatocellular carcinoma complicated with liver cirrhosis was admitted due to an acute onset of dyspnea and right bloody pleural effusion. Because of the patient's advanced hepatocellular carcinoma and poor condition, conservative therapies such as hemostats and blood transfusion were selected. Even though the bleeding to the pleural cavity stopped spontaneously, the patient died due to a progression of liver failure. Autopsy revealed a huge collateral vein in the right diaphragm. The etiology, prevalence, relationship with portal hypertension, and treatment of ectopic varices are discussed herein.
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Matsui et al. (2006) conducted a case report in Ectopic varices (n=1). Conservative therapy (hemostats and blood transfusion) was evaluated on Clinical outcome. Conservative therapies resulted in spontaneous cessation of pleural bleeding, though the patient ultimately died from progressive liver failure.
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