Case of the Month April 2023 – Ultrasound-guided pleural effusion drainage
Echoes Issue No. 30 [December 2022]
March 31, 2023
Real-time ultrasound in jaundice – tips and tricks ~ Adrian Saftoiu (Romania)
April 19, 2023
Stian Solumsmoen 1, Ditte Dencker 1 and Mia Ostergaard 1
1 Dept. of Radiology, Copenhagen University Hospital – Rigshospitalet, Denmark
* Correspondence: stian.kinder.solumsmoen@regionh.dk
Clinical history
A 48-year-old female who recently underwent liver resection due a Klatskin type 3A tumour was referred to our department for an ultrasound-guided pleural drainage. The tumor had invaded and occluded the entire right portal vein, both the right liver vein and artery, the right intrahepatic ducts, the left hepatic duct and the proximal common hepatic duct. After resection, segments 2 and 3 were left, and a hepaticojejunal anastomosis was established. The patient had subsequent leakage from the hepaticojejunal anastomosis, and developed pleural effusion on the right side two months after primary surgery.
This case will provide an overview of the anatomical structures used to identify and plan your procedure as well as the equipment needed to perform an ultrasound guided drainage of a pleural effusion.
Video 1: Showing the penetration of the chest wall and visceral pleura by 7F pigtail catheter in the upper right corner of the video along the dotted needle-guide trajectory.