Delayed pleuroperitoneal leak in an otherwise uncomplicated course of peritoneal dialysis

Victor Shou Yee Kwan; Saskia Leibowitz

doi:10.1002/ccr3.7469

Delayed pleuroperitoneal leak in an otherwise uncomplicated course of peritoneal dialysis

Clin Case Rep. 2023 Jun 13;11(6):e7469. doi: 10.1002/ccr3.7469. eCollection 2023 Jun.

Authors

Victor Shou Yee Kwan¹, Saskia Leibowitz²

Affiliations

¹ Greater Brisbane Clinical School The University of Queensland Brisbane Queensland Australia.
² Department of Nephrology Royal Brisbane and Women's Hospital Brisbane Queensland Australia.

Abstract

Key clinical message: Pleuroperitoneal leaks are rare and normally arise as an early complication in peritoneal dialysis. This case illustrates the importance of considering pleuroperitoneal leaks as a cause for pleural effusions-even if peritoneal dialysis has been longstanding and uncomplicated.

Abstract: A 66-year-old male on peritoneal dialysis for 15 months presented with dyspnoea and low ultrafiltration volumes. Chest radiography revealed a large right-sided pleural effusion. Pleural fluid sampling and peritoneal scintigraphy confirmed a pleuroperitoneal leak.

Keywords: peritoneal dialysis; peritoneal scintigraphy; pleural effusion; pleuroperitoneal leak.

Publication types

Case Reports