A Case of 'Sweet' Hydrothorax in a Patient on Peritoneal Dialysis.
Peritoneal dialysis
pleural effusion
pleuroperitoneal communication
Journal
European journal of case reports in internal medicine
ISSN: 2284-2594
Titre abrégé: Eur J Case Rep Intern Med
Pays: Italy
ID NLM: 101648453
Informations de publication
Date de publication:
2019
2019
Historique:
received:
28
01
2018
accepted:
29
01
2018
entrez:
2
4
2019
pubmed:
2
4
2019
medline:
2
4
2019
Statut:
epublish
Résumé
Non-infectious complications are an important cause of peritoneal dialysis failure. Increased intra-abdominal pressure resulting from dialysate inflow into the peritoneal cavity can cause leaks, including hydrothorax due to pleuroperitoneal communication. The authors describe a patient on peritoneal dialysis with a newly discovered pleural effusion with a high glucose level. The patient was treated conservatively with peritoneal dialysis cessation and switched to haemodialysis with complete resolution of the pleural effusion. After 5 weeks, the patient successfully restarted peritoneal dialysis without recurrence of the hydrothorax. Pleural effusion in a patient on peritoneal dialysis can be caused by leakage of dialysate through pleuroperitoneal communication.Pleural effusion as a result of dialysate leak is rich in glucose.If conservative treatment with temporary peritoneal dialysis cessation is unsuccessful, any pleuroperitoneal communication should be surgically repaired.
Identifiants
pubmed: 30931279
doi: 10.12890/2019_001060
pii: 1060-1-7176-1-10-20190222
pmc: PMC6438108
doi:
Types de publication
Journal Article
Langues
eng
Pagination
001060Déclaration de conflit d'intérêts
Conflicts of Interests: The Authors declare that there are no competing interests.
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