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Abstract
Persistent pleural effusions (PPE) occur in 1–2% of cases of systemic amyloidosis and have been postulated to result from direct disruption of the pleura by amyloid deposits. Patients are typically treated with percutaneous pleural drainage techniques. Pleural biopsies, done most commonly via percutaneous techniques, are infrequently obtained. The macroscopic and histologic pleural findings identified via video assisted thoracoscopic surgery (VATS) for these patients are lacking in the literature. In this case, we present the macroscopic and microscopic pleural findings in a patient who had VATS for the aetiologic diagnosis of PPE. The diagnosis of systemic amyloidosis was made from histologic analysis of the pleural biopsy.
| Abbreviations | ||
| AFB | = | acid-fast bacilli |
| CT | = | computed tomography |
| EGD | = | esophagogastroduodenoscopy |
| PPE | = | persistent pleural effusions |
| TTE | = | transthoracic echocardiogram |
| VATS | = | video assisted thoracoscopic surgery |
| Abbreviations | ||
| AFB | = | acid-fast bacilli |
| CT | = | computed tomography |
| EGD | = | esophagogastroduodenoscopy |
| PPE | = | persistent pleural effusions |
| TTE | = | transthoracic echocardiogram |
| VATS | = | video assisted thoracoscopic surgery |
Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.