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Case Reports
. 2011 Apr;47(1):43-4.
doi: 10.4068/cmj.2011.47.1.43. Epub 2011 Apr 26.

Pleural effusion in a peritoneal dialysis patient

Eun Hui Bae  1 , Chang Seong Kim, Joon Seok Choi, Soo Wan Kim
Affiliations
Case Reports

Pleural effusion in a peritoneal dialysis patient

Eun Hui Bae et al. Chonnam Med J. 2011 Apr.

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.

Keywords: Dialysis; Kidney; Pleural effusion.

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Figures

FIG. 1
FIG. 1
Chest PA view.
FIG. 2
FIG. 2
Chest computed tomography 1 hour after injection of radiocontrast medium into the peritoneal fluid.
See this image and copyright information in PMC

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