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A Case of ‘Sweet’ Hydrothorax in a Patient on Peritoneal Dialysis

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...

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Detalles Bibliográficos
Autores principales: Piko, Nejc, Hren, Martin, Bevc, Sebastjan, Ekart, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SMC Media Srl 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438108/
https://www.ncbi.nlm.nih.gov/pubmed/30931279
http://dx.doi.org/10.12890/2019_001060
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author Piko, Nejc
Hren, Martin
Bevc, Sebastjan
Ekart, Robert
author_facet Piko, Nejc
Hren, Martin
Bevc, Sebastjan
Ekart, Robert
author_sort Piko, Nejc
collection PubMed
description 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. LEARNING POINTS: 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.
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spelling pubmed-64381082019-03-29 A Case of ‘Sweet’ Hydrothorax in a Patient on Peritoneal Dialysis Piko, Nejc Hren, Martin Bevc, Sebastjan Ekart, Robert Eur J Case Rep Intern Med Articles 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. LEARNING POINTS: 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. SMC Media Srl 2019-02-27 /pmc/articles/PMC6438108/ /pubmed/30931279 http://dx.doi.org/10.12890/2019_001060 Text en © EFIM 2019 This article is licensed under a Commons Attribution Non-Commercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Articles
Piko, Nejc
Hren, Martin
Bevc, Sebastjan
Ekart, Robert
A Case of ‘Sweet’ Hydrothorax in a Patient on Peritoneal Dialysis
title A Case of ‘Sweet’ Hydrothorax in a Patient on Peritoneal Dialysis
title_full A Case of ‘Sweet’ Hydrothorax in a Patient on Peritoneal Dialysis
title_fullStr A Case of ‘Sweet’ Hydrothorax in a Patient on Peritoneal Dialysis
title_full_unstemmed A Case of ‘Sweet’ Hydrothorax in a Patient on Peritoneal Dialysis
title_short A Case of ‘Sweet’ Hydrothorax in a Patient on Peritoneal Dialysis
title_sort case of ‘sweet’ hydrothorax in a patient on peritoneal dialysis
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438108/
https://www.ncbi.nlm.nih.gov/pubmed/30931279
http://dx.doi.org/10.12890/2019_001060
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