Diaphragmatic Bleb Complicated Hydrothorax in Peritoneal Dialysis

Abstract

P i c t u r e 1 A. Ch e s t X-r a y s h o wi n g ma s s i v e r i g h t s i d e p l e u r a l e f f u s i o n b e f o r e v i d e o -a s s i s t e d t h o r a c o s c o p i c s u r g e r y ( VAT S ) . P i c t u r e 1 B . Ch e s t X-r a y s h o wi n g n o r i g h t p l e u r a l e f f u s i o n a f t e r v i d e o -a s s i s t e d t h o r a c o s c o p i c s u r g e r y ( VAT S ) t h r e e mo n t h s f o l l o w-u p . T h e a r r o w i n d i c t e d a r i g h t d i a p h r a g m b l e b s u t u r e d d i r e c t l y wi t h a s i l k d u r i n g t h e v i d e o -a s s i s t e d t h or a c o s c o p i c s u r g e r y ( VAT S ) . PICTURES IN CLINICAL MEDICINE Diaphragmatic Bleb Complicated Hydrothorax in Peritoneal Dialysis

Pleuroperitoneal Leak Complicating Continuous Ambulatory Peritoneal Dialysis: A Case Report

“…It is evident that acute hydrothorax can develop in few hours to few years in patients having CAPD [5,8,9]. Pleuro-peritoneal leak secondary to congenital defect usually develops shortly after the initiation of the PD treatment [5,9]. However, like in our case, there are patients presenting with the late development of hydrothorax even in the eighth year of PD treatment [2].…”

“…However, like in our case, there are patients presenting with the late development of hydrothorax even in the eighth year of PD treatment [2]. Hydrothorax usually develops in the right side since left diaphragmatic defects are covered by heart and pericardial surface [5,[8][9][10][11].…”

“…Krishnan et al [7] identified the frequent development of acute hydrothorax in patients on PD initiated at 40 mL/kg dialysate volume compared to the patient's dialysate volume gradually increased. It is evident that acute hydrothorax can develop in few hours to few years in patients having CAPD [5,8,9]. Pleuro-peritoneal leak secondary to congenital defect usually develops shortly after the initiation of the PD treatment [5,9].…”