{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:12:13Z","timestamp":1753891933160,"version":"3.41.2"},"reference-count":10,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:p>Hepatic hydrothorax (HH) represents a rare complication of portal hypertension among adult cirrhotic patients. Here, we describe a pediatric case of HH, observed in a biliary atresia infant. The child presented with recurrent right-sided pleural effusion, after a successful Kasai portoenterostomy with restoration of bile flow and without overt signs of hepatic failure. Recurrence of HH led the patient to liver transplant despite a low pediatric end-stage liver disease value. Although rare, HH can also occur in children and should be suspected in patients with portal hypertension and respiratory distress. HH may be an indication for liver transplantation.<\/jats:p>","DOI":"10.3389\/fped.2021.766187","type":"journal-article","created":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T07:01:50Z","timestamp":1635750110000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["An Unexpected Hepatic Hydrothorax After a Successful Kasai Portoenterostomy: A Case Report"],"prefix":"10.3389","volume":"9","author":[{"given":"Giulia","family":"Ranucci","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabiola","family":"Di Dato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Liccardo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Spada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Maggiore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaele","family":"Iorio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2021,11,1]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/S0140-6736(99)03492-3","article-title":"The frequency and outcome of biliary atresia in the UK and Ireland","volume":"355","author":"McKiernan","year":"2000","journal-title":"Lancet."},{"key":"B2","doi-asserted-by":"publisher","first-page":"1704","DOI":"10.1016\/S0140-6736(09)60946-6","article-title":"Biliary atresia","volume":"374","author":"Hartley","year":"2009","journal-title":"Lancet."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1851","DOI":"10.1002\/hep.31434","article-title":"Multidisciplinary management of hepatic hydrothorax in 2020: an evidence-based review and guidance","volume":"72","author":"Banini","year":"2020","journal-title":"Hepatology."},{"key":"B4","first-page":"566","article-title":"Frequency of hepatic hydrothorax and its association with child pugh class in liver cirrhosis patients","volume":"26","author":"Abbasi","year":"2016","journal-title":"J Coll Physicians Surg Pak."},{"key":"B5","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1002\/rcr2.140","article-title":"Hepatic hydrothorax without ascites as the first sign of liver cirrhosis","volume":"4","author":"Kim","year":"2016","journal-title":"Respirol Case Rep."},{"key":"B6","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1016\/j.arcped.2021.04.001","article-title":"Hepatic hydrothorax in a child and its management","volume":"28","author":"Morin","year":"2021","journal-title":"Arch Pediatr."},{"key":"B7","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1007\/s00408-019-00231-6","article-title":"Hepatic hydrothorax: an updated review on a challenging disease","volume":"197","author":"Chaaban","year":"2019","journal-title":"Lung."},{"key":"B8","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1097\/MCP.0000000000000484","article-title":"Comparison of treatment of hepatic hydrothorax with catheter drainage versus serial thoracentesis","volume":"24","author":"Hsu","year":"2018","journal-title":"Curr Opin Pulm Med."},{"key":"B9","doi-asserted-by":"publisher","first-page":"2552","DOI":"10.1111\/ajt.13408","article-title":"A multistep, consensus-based approach to organ allocation in liver transplantation: toward a \u201cBlended Principle Model\u201d","volume":"15","author":"Cillo","year":"2015","journal-title":"Am J Transplant."},{"key":"B10","doi-asserted-by":"publisher","first-page":"988","DOI":"10.1136\/gut.2009.193227","article-title":"TIPS for the treatment of refractory ascites, hepatorenal syndrome and hepatic hydrothorax: a critical update","volume":"59","author":"Rossle","year":"2010","journal-title":"Gut."}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2021.766187\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T07:01:52Z","timestamp":1635750112000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2021.766187\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,1]]},"references-count":10,"alternative-id":["10.3389\/fped.2021.766187"],"URL":"https:\/\/doi.org\/10.3389\/fped.2021.766187","relation":{},"ISSN":["2296-2360"],"issn-type":[{"type":"electronic","value":"2296-2360"}],"subject":[],"published":{"date-parts":[[2021,11,1]]},"article-number":"766187"}}