Hepatic dysfunction is responsible for 1% to 2% of all pleural effusions. Alcoholic cirrhosis is the most common cause. Polycythemia vera is a rare cause of cirrhosis. It is most likely caused by hepatic vein thrombosis but can also result from extramedullary hematopoiesis. A pleural effusion secondary to cirrhosis caused by polycythemia vera has not been reported before. The authors describe a patient with cirrhosis secondary to polycythemia vera who was severely dyspneic secondary to a large right pleural effusion. A Tc-99m sulfur colloid ascites study was requested to determine whether a significant peritoneopleural communication existed that might be treated by surgical intervention.
- Hepatic Hydrothorax
- Peritoneopleural Communication
- Polycythemia Vera
- Tc-99m Sulfur Colloid
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Radiological and Ultrasound Technology