Hydrothorax Secondary to a Malpositioned Peritoneal Dialysis Catheter

Gorrín, Maite Rivera; Rodríguez-Mendiola, Nuria; Saico, Saúl Pampa; Nicolas, V.; Rioja, María Eugenia; Quereda, C.

doi:10.3747/pdi.2014.00133

Cited by 2 publications

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References 4 publications

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“…Patients with hydrothorax often present with shortness of breath and acute transudative pleural effusion, usually after dwell with dialysate and usually within the first 30 days after dialysis initiation, primarily due to catheter dysfunction or excessive peritoneal pressure due to dialysate influx [59,60]. The primary etiology of hydrothorax in the PD patient is thought to be pleuro-peritoneal communication due to high peritoneal pressure upon dialysis in the presence of congenital or acquired defects in the diaphragm [59,61,62], although some cases are brought on by a malfunctioning or malpositioned catheter [63]. Notably, the presence of hydrothorax is right-sided in 90% of cases, as the left side of the diaphragm is partially supported by the heart and pericardium [64][65][66].…”

Section: Hydrothoraxmentioning

confidence: 99%

Mechanical Complications of Peritoneal Dialysis

Jorge¹,

Bonamici

2017

Surgical Aspects of Peritoneal Dialysis

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Section: Hydrothoraxmentioning

confidence: 99%

Mechanical Complications of Peritoneal Dialysis

Jorge¹,

Bonamici

2017

Surgical Aspects of Peritoneal Dialysis

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Successful treatment of pleuroperitoneal communication with pleurodesis using autologous blood in a patient with severe heart failure undergoing peritoneal dialysis: a case report and brief literature review

2020

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Background Pleuroperitoneal communication is a potential complication of peritoneal dialysis (PD). Of the various treatment strategies for pleuroperitoneal communication, successful treatment with pleurodesis using autologous blood has rarely been reported. Case presentation A 58-year-old man with end-stage kidney disease secondary to diabetic nephropathy and severe heart failure was placed on PD. He developed right-sided hydrothorax after the commencement of PD. Technetium-99m macro-aggregated human serum albumin peritoneal scintigraphy revealed pleuroperitoneal communication. PD was temporarily discontinued and substituted with hemodialysis. Subsequently, the levels of pleural fluid decreased. However, the resumption of PD exacerbated the hydrothorax. After thoracentesis, 50 mL of autologous blood was instilled into the right pleural cavity. There were no complications related to the procedure. PD was reinitiated 5 days after pleurodesis. Repeated chest X-rays did not depict any evidence of recurrent hydrothorax over the subsequent 10 months. Conclusions Pleurodesis using autologous blood was effective for pleuroperitoneal communication and was evidently safe in our patient. It should be considered in patients with severe heart failure since it is minimally invasive.

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Hydrothorax Secondary to a Malpositioned Peritoneal Dialysis Catheter

Cited by 2 publications

References 4 publications

Mechanical Complications of Peritoneal Dialysis

Mechanical Complications of Peritoneal Dialysis

Successful treatment of pleuroperitoneal communication with pleurodesis using autologous blood in a patient with severe heart failure undergoing peritoneal dialysis: a case report and brief literature review

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