Pleuroperitoneal leak complicating peritoneal dialysis: a case series.

Hdl Handle:
http://hdl.handle.net/10147/207000
Title:
Pleuroperitoneal leak complicating peritoneal dialysis: a case series.
Authors:
Kennedy, C; McCarthy, C; Alken, S; McWilliams, J; Morgan, R K; Denton, M; Conlon, P J; Magee, C
Affiliation:
Department of Nephrology, Beaumont Hospital, Dublin 9, Ireland.
Citation:
Int J Nephrol. 2011;2011:526753. Epub 2011 Aug 17.
Journal:
International journal of nephrology
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207000
DOI:
10.4061/2011/526753
PubMed ID:
21876802
Abstract:
Pressure related complications such as abdominal wall hernias occur with relative frequency in patients on peritoneal dialysis. Less frequently, a transudative pleural effusion containing dialysate can develop. This phenomenon appears to be due to increased intra-abdominal pressure in the setting of congenital or acquired diaphragmatic defects. We report three cases of pleuroperitoneal leak that occurred within a nine-month period at our institution. We review the literature on this topic, and discuss management options. The pleural effusion resolved in one patient following drainage of the peritoneum and a switch to haemodialysis. One patient required emergency thoracocentesis. The third patient developed a complex effusion requiring surgical intervention. The three cases highlight the variability of this condition in terms of timing, symptoms and management. The diagnosis of a pleuroperitoneal leak is an important one as it is managed very differently to most transudative pleural effusions seen in this patient population. Surgical repair may be necessary in those patients who wish to resume peritoneal dialysis, or in those patients with complex effusions. Pleuroperitoneal leak should be considered in the differential diagnosis of a pleural effusion, particularly a right-sided effusion, in a patient on peritoneal dialysis.
Language:
eng
ISSN:
2090-2158 (Electronic)

Full metadata record

DC FieldValue Language
dc.contributor.authorKennedy, Cen_GB
dc.contributor.authorMcCarthy, Cen_GB
dc.contributor.authorAlken, Sen_GB
dc.contributor.authorMcWilliams, Jen_GB
dc.contributor.authorMorgan, R Ken_GB
dc.contributor.authorDenton, Men_GB
dc.contributor.authorConlon, P Jen_GB
dc.contributor.authorMagee, Cen_GB
dc.date.accessioned2012-02-01T09:57:19Z-
dc.date.available2012-02-01T09:57:19Z-
dc.date.issued2012-02-01T09:57:19Z-
dc.identifier.citationInt J Nephrol. 2011;2011:526753. Epub 2011 Aug 17.en_GB
dc.identifier.issn2090-2158 (Electronic)en_GB
dc.identifier.pmid21876802en_GB
dc.identifier.doi10.4061/2011/526753en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207000-
dc.description.abstractPressure related complications such as abdominal wall hernias occur with relative frequency in patients on peritoneal dialysis. Less frequently, a transudative pleural effusion containing dialysate can develop. This phenomenon appears to be due to increased intra-abdominal pressure in the setting of congenital or acquired diaphragmatic defects. We report three cases of pleuroperitoneal leak that occurred within a nine-month period at our institution. We review the literature on this topic, and discuss management options. The pleural effusion resolved in one patient following drainage of the peritoneum and a switch to haemodialysis. One patient required emergency thoracocentesis. The third patient developed a complex effusion requiring surgical intervention. The three cases highlight the variability of this condition in terms of timing, symptoms and management. The diagnosis of a pleuroperitoneal leak is an important one as it is managed very differently to most transudative pleural effusions seen in this patient population. Surgical repair may be necessary in those patients who wish to resume peritoneal dialysis, or in those patients with complex effusions. Pleuroperitoneal leak should be considered in the differential diagnosis of a pleural effusion, particularly a right-sided effusion, in a patient on peritoneal dialysis.en_GB
dc.language.isoengen_GB
dc.titlePleuroperitoneal leak complicating peritoneal dialysis: a case series.en_GB
dc.contributor.departmentDepartment of Nephrology, Beaumont Hospital, Dublin 9, Ireland.en_GB
dc.identifier.journalInternational journal of nephrologyen_GB
dc.description.provinceLeinster-

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