胸膜腔積水對於肝硬化合併腹水的病患是已知但不常見之併發症,其發生率約佔6%左右,通常發生在右側,偶爾可見於左側,但同時發生在兩側的情況卻非常少見。本篇報告主要措述有肝硬化合併腹水之46歲女性患者,因兩側胸膜腔積水合併呼吸困難而入院,在懷疑因腹胸膜交通而引起的胸膜腔積水安排核子醫學的Tc-99m sulfur colloid 腹膜閃爍攝影檢查,並且發現少見的兩側腹胸膜交通的情形。此篇報告再度證實Tc-99m sulfur colloid腹膜閃爍攝影是一種迅速、簡單、正確、又不具侵襲性的腹胸膜交通之診斷方法。
Hydrothorax is an infrequent but well-recognized complication in patients on continuous ambulatory peritoneal dialysis (CAPD) and patients with cirrhotic ascites. It is usually found on the right side; an incidence on both sides is rarely reported. We describe the scintigraphic diagnosis of unusual bilateral peritoneopleural communication in a patient with cirrhotic ascites.