Abstract
Hepatic hydrothorax is defined as the presence of significant pleural effusion in a cirrhotic patient without primary pulmonary or cardiac disease. Furthermore, Hepatic hydrothorax in the absence of ascites is a rare complication in decompensated liver cirrhosis. We report a patient with refractory hepatic hydrothorax in the absence of ascites. Successful treatments include medication, pig-tail insertion and video-assisted thoracoscopic surgery (VATS).
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