PMID- 36381727
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221117
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 14
IP  - 10
DP  - 2022 Oct
TI  - Evaluation of Recurrent Right-Sided Pleural Effusion: Hepatic Hydrothorax vs. 
      Silicone Breast Implant Rupture.
PG  - e30268
LID - 10.7759/cureus.30268 [doi]
LID - e30268
AB  - We report a case of a 55-year-old woman who presented to our hospital emergency 
      department with a recurrent right-sided pleural effusion. Her presenting symptom 
      was shortness of breath which first began two years prior after she experienced a 
      blunt thoracic injury. This injury resulted in the rupture of her right silicone 
      breast implant. Since the traumatic rupture of her right breast implant, she 
      developed asthma-like symptoms and allergies that were adequately controlled with 
      bronchodilators, antihistamines, and glucocorticoids. Laboratory investigation 
      was significant for elevated immunoglobulin E (IgE) levels and eosinophilia 
      consistent with an allergic hypersensitivity reaction. She denied a history of 
      smoking, asthma, or allergies preceding the trauma to her right breast 
      implant. Our differential diagnosis also included the possibility of 
      an inflammatory reaction to the silicone breast rupture as a possible etiology 
      for the recurrent pleural effusion. The patient underwent a right-sided 
      diagnostic and therapeutic thoracentesis procedure on two separate occasions 
      within a span of a month in an effort to improve her symptoms and arrive at a 
      definitive diagnosis. Her worsening symptoms were believed to be triggered by the 
      pleural effusion. Aspirated pleural fluid was sent to the laboratory for 
      analysis. Both samples excluded infectious or malignant causes of the pleural 
      effusion. Ultimately, the source of her pleural effusion was determined to be 
      decompensated liver cirrhosis. The patient underwent a pleurodesis procedure in 
      an effort to seal the pleural space.
CI  - Copyright (c) 2022, Malone et al.
FAU - Malone, Mercedes
AU  - Malone M
AD  - Internal Medicine, Hospital Corporation of America (HCA) Florida North Florida 
      Hospital, Gainesville, USA.
FAU - Ritchie, David
AU  - Ritchie D
AD  - Surgery, Hospital Corporation of America (HCA) Florida Kendall Regional Medical 
      Center, Miami, USA.
LA  - eng
PT  - Case Reports
DEP - 20221013
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC9653170
OTO - NOTNLM
OT  - hepatic hydrothorax
OT  - pleural effusion
OT  - silicone implant rupture
OT  - talc pleurodesis
OT  - video-assisted thoracic surgery
COIS- The authors have declared that no competing interests exist.
EDAT- 2022/11/17 06:00
MHDA- 2022/11/17 06:01
PMCR- 2022/10/13
CRDT- 2022/11/16 02:57
PHST- 2022/10/11 00:00 [accepted]
PHST- 2022/11/16 02:57 [entrez]
PHST- 2022/11/17 06:00 [pubmed]
PHST- 2022/11/17 06:01 [medline]
PHST- 2022/10/13 00:00 [pmc-release]
AID - 10.7759/cureus.30268 [doi]
PST - epublish
SO  - Cureus. 2022 Oct 13;14(10):e30268. doi: 10.7759/cureus.30268. eCollection 2022 
      Oct.