以Tc-99c MAA腹水掃描診斷肝源性肋膜腔積水併發兩側腹肋膜腔交通：一少見病例報告

The Diagnosis of Bilateral Peritoneo-Pleural Communication on Hepatic Hydrothorax with a Tc-99M MAA Ascites Scan: A Rare Case Report

肝硬化病患併發肋膜腔積水是已知但不常見之併發症，通常發生在右側，有時發生在左側。只有大約2%的肝源性肋膜腔空積水同時發生於兩側。我們報告一有肝硬化合併腹水患者，以Tc-99m MAA腹水掃描檢查發現少見的兩側腹肋膜腔交通的情形，但胸部X光僅發現右側肋膜腔積水。此篇報告再度證實Tc-99m MAA腹膜閃爍攝影是一種靈敏、簡單又安全的腹肋膜腔交通之診斷方法。

Hepatic hydrothorax is an infrequent but well-recognized complication in patients with liver cirrhosis. It is usually found on the right side and sometimes on the left side. Only about 2% of patients with hepatic hydrothorax were found with it on both sides. We reported a rare case of hepatic hydrothorax with bilateral peritoneopleural communication demonstrated by a Tc-99m MAA ascites scan, but only right pleural effusion was noted in the chest X-ray. This finding supports the contention that Tc-99m MAA ascites scan is a sensitive, simple and safe method to demonstrate peritoneo-pleural communication in patients with hepatic hydrothorax.