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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SMC Media Srl
2019
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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. |
format | Online Article Text |
id | pubmed-6438108 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SMC Media Srl |
record_format | MEDLINE/PubMed |
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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