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VOLUME 57 , ISSUE 4 ( October-December, 2015 ) > List of Articles


Bilateral Pleural Effusion: A Rare Case Report

Rakesh K. Chawla, Arun Madan, Aditya Chawla, Harsh Nandini Arora, Kiran Chawla

Keywords : Inferior vena cava obstruction, Ascites, Pleural effusion, CHF, Budd-Chiari syndrome, Balloon dilatation

Citation Information : Chawla RK, Madan A, Chawla A, Arora HN, Chawla K. Bilateral Pleural Effusion: A Rare Case Report. Indian J Chest Dis Allied Sci 2015; 57 (4):243-245.

DOI: 10.5005/ijcdas-57-4-243

License: CC BY-NC 4.0

Published Online: 18-11-2022

Copyright Statement:  Copyright © 2015; The Author(s).


A 24-year-old female presented with complaints of distension of abdomen, lower limb swelling and shortness of breath. On examination, she had bilateral pedal oedema, tender mild hepatomegaly, bilateral pleural effusion and ascites. She had received treatment on lines of chronic liver disease, congestive heart failure but did not manifest any improvement. Laboratory investigations including haemogram, echocardiography and liver function testing were inconclusive. Ultrasonography and computed tomography of abdomen revealed obstruction at the junction of inferior vena cava and hepatic vein with pre-stenotic dilatation confirming the diagnosis of Budd-Chiari syndrome. She was treated with balloon dilatation from right femoral vein and the patient showed marked recovery with decrease in ascites and bilateral pleural effusion and improvement in dyspnoea and leg swelling.

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