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Loculated transudate

Year 2020, Volume: 45 Issue: 3, 1263 - 1264, 30.09.2020
https://doi.org/10.17826/cumj.632447

Abstract

The association between heart failure and phantom tumor has been well known for years. Because drainage mechanism exists in parietal pleura, phantom tumors generally localize between fissures. Loculated transudate in peripheral lung areas is extremely rare. We present an interesting case of encapsulated transudative pleural effusion associated with pneumonia. The pleural fissures, formed by a double layer of visceral pleura, represent extensions of the pleural space between lobes of the lungs. Localized transudative effusion between fissures, known as phantom tumor or vanishing tumor, can be seen during fluid overload. Because most pleural fluid drainage occurs through parietal pleural lymphatics , effusions tend to localize in visceral site rather than parietal pleura. We found only two reports of loculated transudates in peripheral lung regions .  Encapsulated transudative effusion was affected right upper region in one paper  and in our patient. The predilection of this area may be due to higher negativity in the intrapleural pressure or pleural adhesions caused by repeated thoracentesis. In conclusion, loculated transudate strongly suggests an unstable cardiac event, and it can present with atypical localization.

References

  • Referans 1 Kho SS, Tay PS, Lee J, Tie ST. Loculated transudative pleural effusion masquerading as right upper lobe consolidation in a haemodialysis patient. AME Case Rep. 2017;1:4.Referans 2 Miserocchi G. Mechanisms controlling the volume of pleural fluid and extravascular lung water. Eur Respir Rev 2009;18:244-52.Referans 3 Pereira W Jr, Kovnat DM, Snider GL. Subcostal loculated pleural effusion in congestive heart failure: an unusual case of vanishing tumor. Am J Med Sci. 1975;269:395-8.Referans 4 Banyai AL. Predilection of the right hemithorax for diseases. Chest 1969; 56: 23.

Loküle transuda

Year 2020, Volume: 45 Issue: 3, 1263 - 1264, 30.09.2020
https://doi.org/10.17826/cumj.632447

Abstract

The association between heart failure and phantom tumor has been well known for years. Because drainage mechanism exists in parietal pleura, phantom tumors generally localize between fissures. Loculated transudate in peripheral lung areas is extremely rare. We present an interesting case of encapsulated transudative pleural effusion associated with pneumonia. The pleural fissures, formed by a double layer of visceral pleura, represent extensions of the pleural space between lobes of the lungs. Localized transudative effusion between fissures, known as phantom tumor or vanishing tumor, can be seen during fluid overload. Because most pleural fluid drainage occurs through parietal pleural lymphatics , effusions tend to localize in visceral site rather than parietal pleura. We found only two reports of loculated transudates in peripheral lung regions . Encapsulated transudative effusion was affected right upper region in one paper and in our patient. The predilection of this area may be due to higher negativity in the intrapleural pressure or pleural adhesions caused by repeated thoracentesis. In conclusion, loculated transudate strongly suggests an unstable cardiac event, and it can present with atypical localization.

References

  • Referans 1 Kho SS, Tay PS, Lee J, Tie ST. Loculated transudative pleural effusion masquerading as right upper lobe consolidation in a haemodialysis patient. AME Case Rep. 2017;1:4.Referans 2 Miserocchi G. Mechanisms controlling the volume of pleural fluid and extravascular lung water. Eur Respir Rev 2009;18:244-52.Referans 3 Pereira W Jr, Kovnat DM, Snider GL. Subcostal loculated pleural effusion in congestive heart failure: an unusual case of vanishing tumor. Am J Med Sci. 1975;269:395-8.Referans 4 Banyai AL. Predilection of the right hemithorax for diseases. Chest 1969; 56: 23.
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Details

Primary Language English
Subjects Respiratory Diseases
Journal Section Letter to the Editor
Authors

Uğur Gönlügür 0000-0001-8720-2788

Tanseli Gönlügür This is me 0000-0003-0751-6184

Şule Özer This is me 0000-0002-9296-9489

Publication Date September 30, 2020
Acceptance Date November 17, 2019
Published in Issue Year 2020 Volume: 45 Issue: 3

Cite

MLA Gönlügür, Uğur et al. “Loculated Transudate”. Cukurova Medical Journal, vol. 45, no. 3, 2020, pp. 1263-4, doi:10.17826/cumj.632447.