Kosin Med J.
2014 Jun;29(1):53-57. 10.7180/kmj.2014.29.1.53.
A Case of Hydrothorax Aggravated by Peritoneal Dialysate Leakage in Compensated Liver Cirrhosis Patient with Ascites
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, Kosin University, Busan, Korea. danieljoseph@hanmail.net
- KMID: 1882439
- DOI: http://doi.org/10.7180/kmj.2014.29.1.53
Abstract
- The cirrhotic patients with ascites present unique challenge to the renal caregiver. Hydrothorax in a cirrhotic patient treated with PD poses a diagnostic dilemma. Proposed mechanisms for the development of a pleuro-peritoneal communication include congenital diaphragmatic defects, acquired weakening of diaphragmatic fibers caused by high intra-abdominal pressures during peritoneal dialysis, and impairments in lymphatic drainage. Pleural fluid analysis and diagnostic imaging assist in differentiation from other causes of pleural effusion. We report a case of hydrothorax in a compensated cirrhotic patient after recent introduction to peritoneal dialysis.
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