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Pleural Effusion in a Peritoneal Dialysis Patient

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 wi...

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Detalles Bibliográficos
Autores principales: Bae, Eun Hui, Kim, Chang Seong, Choi, Joon Seok, Kim, Soo Wan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Chonnam National University Medical School 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214860/
https://www.ncbi.nlm.nih.gov/pubmed/22111056
http://dx.doi.org/10.4068/cmj.2011.47.1.43
Descripción
Sumario: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.