Peritoneal Scintigraphy in the Diagnosis of Complications Associated with Continuous Ambulatory Peritoneal Dialysis

Rajnish, Anshu; Ahmad, Muffazal; Kumar, Pradeep

doi:10.1097/00003072-200301000-00024

Cited by 18 publications

(6 citation statements)

References 5 publications

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“…Additional details of the thorax can be obtained with computerized axial tomography or magnetic resonance imaging. Peritoneal scintigraphy using technetium-99m tagged macro-aggregated albumin (28)(29)(30) or Tc-99m sulfur colloid (8,(31)(32)(33)(34)(35) confirms abnormal pleuroperitoneal communication in a noninvasive fashion (4,8,31,33).…”

Section: Diagnostic Techniquesmentioning

confidence: 99%

Hydrothorax: Pleural Effusion Associated with Peritoneal Dialysis

Lew

2010

Perit Dial Int

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Hydrothorax in a patient treated with peritoneal dialysis (PD) poses a diagnostic dilemma. Hydrothorax due to migration of dialysis fluid across the diaphragm and into the pleural space creates a serious complication of PD but generally does not threaten life. Shortness of breath causes the patient to seek medical attention. A sudden diminution in dialysis adequacy or poor ultrafiltration rate constitutes a unique marker for patients treated with PD compared to the general population. This article reviews the etiology for hydrothorax specifically in the PD population. Thoracentesis with chemical analysis of the fluid, imaging studies with and without contrast or markers, and video-assisted thoracoscopic surgery play important roles in the evaluation of hydrothorax. A conservative PD regimen, surgical intervention, and pleurodesis provide treatment options to those receiving PD.

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Section: Diagnostic Techniquesmentioning

confidence: 99%

Hydrothorax: Pleural Effusion Associated with Peritoneal Dialysis

Lew

2010

Perit Dial Int

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“…Several case reports have demonstrated the usefulness of peritoneal scintigraphy in showing a peritoneal-pleural leak. Most of the case reports involved adult patients; only a few involved children (4,13,(15)(16)(17)(18). Peritoneal scintigraphy was considered to have the best sensitivity and specificity for the diagnosis of PD-associated hydrothorax (14,19), although in other series, the diagnostic sensitivity was lower (20).…”

Section: Discussionmentioning

confidence: 99%

Diagnosis by Peritoneal scintigraphy of Peritoneal Dialysis–Associated Hydrothorax in an Infant

et al. 2014

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“…2 Similar mechanisms likely occur with TH due to empyema, although some additional fluid accumulates due to inflammation from the infection itself. 13 Tension hemothorax is usually associated with aneurysm rupture, penetrating trauma, or surgical complications. 8 The development of TH in this setting is believed to be due to sudden rupture of pleuroperitoneal blebs with sudden passage of a large volume of ascites into the pleural cavity.…”

Section: Discussionmentioning

confidence: 99%