ABSTRACT
In the last few years, there has been a significant increase in younger generations using vaping devices as an alternative to smoking. Social media and celebrities have played a major role in its increased popularity. Many consumers believe it to be a relatively safer and healthier choice. We present a case of a 21-year-old, female, non-smoker with vaping exposure who developed severe acute lung injury. Her workup was negative for any other cause of acute lung injury.
Subject(s)
Acute Lung Injury/etiology , Vaping/adverse effects , Acute Lung Injury/diagnostic imaging , Acute Lung Injury/rehabilitation , Diagnosis, Differential , Electronic Nicotine Delivery Systems , Female , Humans , Lung/diagnostic imaging , Lung/pathology , Tomography, X-Ray Computed , Young AdultABSTRACT
Hepatic hydrothorax (HH) occurs in 5-10 percent of patients with cirrhosis and usually develops in conjunction with ascites. We report a case of refractory right sided pleural effusion which turned out to be HH in the absence of ascites or previous history of cirrhosis. HH is thought to occur in isolation due to the superior absorptive capacity of the peritoneum as compared to the pleura. Diagnosis is usually clinical but can be confirmed by scintigraphic studies. The treatment is similar to that for ascites with transjugular intrahepatic portosystemic shunt (TIPS) being the most effective but it is associated with high rate of complications.
