[Pleuroperitoneal Communication Using Intraoperative Imaging with Indocyanine Green Fluorescence: Report of a Case].
Kyobu Geka
; 77(6): 464-469, 2024 Jun.
Article
em Ja
| MEDLINE
| ID: mdl-39009542
ABSTRACT
A 46-year-old man was treated with ascites due to idiopathic portal hypertension. Chest X-ray showed a massive pleural effusion on the right side. Also, contrast-enhanced ultrasonography showed that contrast medium was effusing from abdominal cavity into the thoracic cavity via diaphragm. He was diagnosed with pleuroperitoneal communication. Thoracoscopic surgery was performed and thoracoscope revealed ascites with indocyanine green (ICG) drained from multiple cystic area in the central tendon of the diaphragm. After suturing with non-absorbable thread with reinforcement, the whole diaphragm was covered with a polyglycolic acid sheet and fibrin glue. Postoperatively, there was no reaccumulation of pleural effusion. ICG fluorescence intraoperative imaging was an useful method in detecting the pleural holes.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Verde de Indocianina
Limite:
Humans
/
Male
/
Middle aged
Idioma:
Ja
Revista:
Kyobu Geka
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Japão
País de publicação:
Japão