Abstract
Peritoneal dialysis is a treatment alternative in patients with advanced chronic kidney disease. The infusion of liquid into the peritoneal cavity leads to an increase in intra-abdominal pressure, which can sometimes produce leaks to the chest, giving rise to pleuroperitoneal communication. This is not a common complication, but it brings about high drop-out rates among patients using the technique. Diagnosis is easy and must be suspected in patients with sudden dyspnoea with low ultrafiltration and pleural effusion in the chest x-ray. Peritoneal rest and a temporary transfer to haemodialysis, and pleurodesis can be effective treatment strategies.
MeSH terms
-
Aged
-
Ascitic Fluid / chemistry
-
Barotrauma / etiology*
-
Female
-
Fistula / diagnosis
-
Fistula / diagnostic imaging
-
Fistula / etiology*
-
Glucose / analysis
-
Humans
-
Hydrothorax / diagnosis
-
Hydrothorax / diagnostic imaging
-
Hydrothorax / etiology*
-
Hydrothorax / therapy
-
Kidney Failure, Chronic / complications
-
Kidney Failure, Chronic / therapy
-
Male
-
Middle Aged
-
Peritoneal Dialysis / adverse effects*
-
Peritoneal Diseases / diagnosis
-
Peritoneal Diseases / diagnostic imaging
-
Peritoneal Diseases / etiology*
-
Peritoneum / injuries*
-
Pleura / injuries*
-
Pleurodesis
-
Radionuclide Imaging
-
Renal Dialysis
-
Respiratory Tract Fistula / diagnosis
-
Respiratory Tract Fistula / diagnostic imaging
-
Respiratory Tract Fistula / etiology*
-
Retrospective Studies
-
Rupture / etiology
-
Technetium Tc 99m Aggregated Albumin
Substances
-
Technetium Tc 99m Aggregated Albumin
-
Glucose