Chonnam Med J.  2011 Apr;47(1):43-44. 10.4068/cmj.2011.47.1.43.

Pleural Effusion in a Peritoneal Dialysis Patient

• Bae EH
• Kim CS
• Choi JS
• Kim SW

• KMID: 2172244
• DOI: http://doi.org/10.4068/cmj.2011.47.1.43

Abstract

A 34-year-old female presented with end-stage renal disease (ESRD) treated by peritoneal dialysis (CAPD) complained of a dry cough. Chest X-ray and chest computed tomography (CT) scan revealed massive right hydrothorax. Because the glucose concentration of pleural fluid was markedly high compared with that of serum, we performed isotope and contrast peritoneography. We used CT for localizing it. MRI was also trying to show transdiaphragmatic leakage in peritoneoflural fistula. Temporary discontinuation of CAPD, tetracycline instillation into the pleural space and surgical patch grafting of the diaphragmatic leak have all been described. A novel method may be video-assisted talc pleurodesis.

Keyword

Pleural effusion; Dialysis; Kidney

MeSH Terms

Adult
Cough
Dialysis
Female
Fistula
Glucose
Humans
Hydrothorax
Kidney
Kidney Failure, Chronic
Peritoneal Dialysis
Peritoneal Dialysis, Continuous Ambulatory
Pleural Effusion
Pleurodesis
Talc
Tetracycline
Thorax
Transplants
Glucose
Talc
Tetracycline

Figure

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  FIG. 1 Chest PA view.

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  FIG. 2 Chest computed tomography 1 hour after injection of radiocontrast medium into the peritoneal fluid.

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