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Acute hydrothorax complicating peritoneal dialysis: a case report

INTRODUCTION: Acute hydrothorax is an uncommon but a well-recognized complication of peritoneal dialysis. No single test is definitive for diagnosis. Although it is not a life-threatening condition, hydrothorax often requires abandonment of peritoneal dialysis. Delay in diagnosis can lead to worseni...

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Autores principales: Cho, Yeoungjee, D'Intini, Vincent, Ranganathan, Dwarkanathan
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2987964/
https://www.ncbi.nlm.nih.gov/pubmed/21059200
http://dx.doi.org/10.1186/1752-1947-4-355
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author Cho, Yeoungjee
D'Intini, Vincent
Ranganathan, Dwarkanathan
author_facet Cho, Yeoungjee
D'Intini, Vincent
Ranganathan, Dwarkanathan
author_sort Cho, Yeoungjee
collection PubMed
description INTRODUCTION: Acute hydrothorax is an uncommon but a well-recognized complication of peritoneal dialysis. No single test is definitive for diagnosis. Although it is not a life-threatening condition, hydrothorax often requires abandonment of peritoneal dialysis. Delay in diagnosis can lead to worsening of the clinical status. CASE PRESENTATION: A 33-year-old Caucasian woman with lupus, who was successfully treated with temporary peritoneal dialysis 17 years previously, presented with acute dyspnea and a right pleural effusion after recommencing peritoneal dialysis. Investigations eliminated infective, cardiac, and primary respiratory causes. Peritoneal dialysis-related hydrothorax was suggested by biochemistry, and a pleuroperitoneal leak was definitively confirmed by using a Tc-99 m DTPA (diethylene triamine penta-acetic acid) scintigraphy scan. Subsequently, she underwent video-assisted thoracoscopy-guided talc pleurodesis and was able to return successfully to peritoneal dialysis. CONCLUSION: Although our case is not the first report that describes the occurrence of acute hydrothorax in peritoneal dialysis, it is an important condition to recognize for the wider general medical community. Furthermore, this case demonstrates that peritoneal dialysis can be continued with a hydrothorax, provided the underlying cause can be corrected. We review the literature pertaining to the utility and reliability of different diagnostic approaches to hydrothorax.
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spelling pubmed-29879642010-11-19 Acute hydrothorax complicating peritoneal dialysis: a case report Cho, Yeoungjee D'Intini, Vincent Ranganathan, Dwarkanathan J Med Case Reports Case Report INTRODUCTION: Acute hydrothorax is an uncommon but a well-recognized complication of peritoneal dialysis. No single test is definitive for diagnosis. Although it is not a life-threatening condition, hydrothorax often requires abandonment of peritoneal dialysis. Delay in diagnosis can lead to worsening of the clinical status. CASE PRESENTATION: A 33-year-old Caucasian woman with lupus, who was successfully treated with temporary peritoneal dialysis 17 years previously, presented with acute dyspnea and a right pleural effusion after recommencing peritoneal dialysis. Investigations eliminated infective, cardiac, and primary respiratory causes. Peritoneal dialysis-related hydrothorax was suggested by biochemistry, and a pleuroperitoneal leak was definitively confirmed by using a Tc-99 m DTPA (diethylene triamine penta-acetic acid) scintigraphy scan. Subsequently, she underwent video-assisted thoracoscopy-guided talc pleurodesis and was able to return successfully to peritoneal dialysis. CONCLUSION: Although our case is not the first report that describes the occurrence of acute hydrothorax in peritoneal dialysis, it is an important condition to recognize for the wider general medical community. Furthermore, this case demonstrates that peritoneal dialysis can be continued with a hydrothorax, provided the underlying cause can be corrected. We review the literature pertaining to the utility and reliability of different diagnostic approaches to hydrothorax. BioMed Central 2010-11-08 /pmc/articles/PMC2987964/ /pubmed/21059200 http://dx.doi.org/10.1186/1752-1947-4-355 Text en Copyright ©2010 Cho et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Cho, Yeoungjee
D'Intini, Vincent
Ranganathan, Dwarkanathan
Acute hydrothorax complicating peritoneal dialysis: a case report
title Acute hydrothorax complicating peritoneal dialysis: a case report
title_full Acute hydrothorax complicating peritoneal dialysis: a case report
title_fullStr Acute hydrothorax complicating peritoneal dialysis: a case report
title_full_unstemmed Acute hydrothorax complicating peritoneal dialysis: a case report
title_short Acute hydrothorax complicating peritoneal dialysis: a case report
title_sort acute hydrothorax complicating peritoneal dialysis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2987964/
https://www.ncbi.nlm.nih.gov/pubmed/21059200
http://dx.doi.org/10.1186/1752-1947-4-355
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