Dialysate leakage into pericardium in an infant on long-term peritoneal dialysis

Dagmara Borzych; Sebastain Ley; Franz Schaefer; Heiko Billing; Julia Ley-Zaporozhan; Jens Schenk; Claus Peter Schmitt

doi:10.1007/s00467-007-0615-y

Dialysate leakage into pericardium in an infant on long-term peritoneal dialysis

Pediatr Nephrol. 2008 Feb;23(2):335-8. doi: 10.1007/s00467-007-0615-y. Epub 2007 Oct 9.

Authors

Dagmara Borzych¹, Sebastain Ley, Franz Schaefer, Heiko Billing, Julia Ley-Zaporozhan, Jens Schenk, Claus Peter Schmitt

Affiliation

¹ Department of Pediatric Nephrology, Medical University of Gdansk, Gdansk, Poland.

PMID: 17922293
DOI: 10.1007/s00467-007-0615-y

Abstract

We report on a 2-year-old boy on automated peritoneal dialysis (PD) with a history of multiple hernias and dialysate leaks who developed pericardial effusion. Magnetic resonance imaging (MRI) demonstrated a peritoneo-pericardial fistula. Dialysis had to be discontinued, since head-down tilt reproducibly induced significant hypotension. In PD patients with pericardial effusion a peritoneo-pericardial leak should be considered.

Publication types

Case Reports

MeSH terms

Child, Preschool
Dialysis Solutions / adverse effects*
Extravasation of Diagnostic and Therapeutic Materials / diagnosis*
Extravasation of Diagnostic and Therapeutic Materials / etiology
Fistula / etiology
Fistula / pathology
Humans
Kidney Transplantation
Magnetic Resonance Imaging
Male
Pericardial Effusion / chemically induced*
Pericardial Effusion / pathology
Pericardial Effusion / surgery
Pericardium / drug effects*
Pericardium / pathology
Peritoneal Cavity / pathology*
Peritoneal Dialysis / adverse effects*
Punctures / adverse effects

Substances

Dialysis Solutions