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Case Reports
. 2001 Oct 6;30(28):1401-3.

[A "sweet" hydrothorax]

[Article in French]
C Michel  1 , A Devy, F Lavaud, S Lavaud, F Lebargy
Affiliations
  • PMID: 11688205
Case Reports

[A "sweet" hydrothorax]

[Article in French]
C Michel et al. Presse Med. .

Abstract

Background: Hydrothorax is a rare complication of continuous ambulatory peritoneal dialysis (CAPD).

Case report: A 68-year-old man on CAPD consulted for rapidly progressive dyspnea. An elevated glucose level in the pleural puncture fluid and Tc-99m peritoneoscitigraphy demonstrated pleuroperitoneal communication via Larrey's cleft led to the diagnosis of "sweet" hydrothorax. Resolution was achieved with pleurocentesis and interruption of CAPD.

Discussion: Although rare, hydrothorax should be retained as a possible diagnosis in patients who develop dyspnea within the first 2 months after institution of CAPD. Chemistry of the pleural fluid and Tc-99m scintigraphy provide the diagnosis. Conservative treatment by pleural puncture or pleurodesis is indicated. In most cases, CAPD can be resumed without recurrence.

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