Hepatic hydrothorax (HH) represents a rare complication of portal hypertension among adult cirrhotic patients.Here, we swap patch 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 3 Piece Twin Sleigh Bed children and should be suspected in patients with portal hypertension and respiratory distress.
HH may be an indication for liver transplantation.