Concluded Case

Massive pleural effusion ,Koch's.

45 yrs female presented with progressive dyspnea dry cough and chest pain since last 15 days. diagnosed as Koch's pleural effusion. after ICD on left side ,total amount of fluid drained is 6.5 lit. I have rarely seen such a huge amount of pleural fluid. experts,plz share your views..

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Excellent job done Yes there os lt hemithorax opacity in first xray 2nd xray shows icd in lt thoracic cavity pleural effusion is drained out i think icd should be withdrawn to level of lower lobe There arefloppy opacities or infiltrates in lt paracardiac region And illdefined cavity noted in lthilar region near aortic knuckle Rt side also shows lt cp angle obscured and few infiltrates in hilum area Yes it is KOCH'S PLEURAL EFFUSION In a cospicious quantity
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Excellent job done Yes there os lt hemithorax opacity in first xray 2nd xray shows icd in lt thoracic cavity pleural effusion is drained out i think icd should be withdrawn to level of lower lobe There arefloppy opacities or infiltrates in lt paracardiac region And illdefined cavity noted in lthilar region near aortic knuckle Rt side also shows lt cp angle obscured and few infiltrates in hilum area Yes it is KOCH'S PLEURAL EFFUSION In a cospicious quantity
Thanx dr Dhruvajay Gaikwad
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Huge left pleural effusion Aspirate to be checked for biochemistry ,AFB ,CBNATT, Some times ,when draining this amount of massive pleural effusion in one sitting, hemodynamic compromise may happen, with patient going in for shock . Slow, continuous drainage through IV set, for several hours, with IV fluid support and BP monitoring will be needed . Huge protein loss, need to be replaced by IV albumin or oral proteins .
Yes sir, did it slow intermittent release of ICD.
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Left hemithorax huge opacity sugg massive pleural effusion left in 1st x ray 2nd x ray ICD in situ , Still heziness ll Rt ll infiltration wth obscure cp angle. Though it is koch's pleural effusion can we thought for malignancy?
Thank you doctor
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Seen such cases Should not be tapped in single sitting because of electrolyes and protien loss sharply seen wordning of patients with single sitting sorry only my personnal experience
Absolutely sir. We drained it intermittently over around 15 hrs.
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Well done. Should not be tapped in single sitting because of electrolyte and protein imbalance.
Thanks Dr Sachin kale
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SUGGESTIVE OF LT..... MASSIVE. PLEURAL EFFUSION NICELY. DONE.... AGREE. SIR
Left hemithorax opaque with mediastinal shift to right. Massive pleural effusion left.
Is it wise to drain 6.5L pleural fluid om one setting
Method of Slow and intermittent release of ICD was used sir.
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Visit wise to drain 6.5 L pl fluid I'm one sitting
Agree with Dr Krishnan Sir
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