Pleuroperitoneal Leak Complicating Continuous Ambulatory Peritoneal Dialysis: A Case Report

Sedat Ustundag, Funda Ustun, Gulay Yilmaz, Erkan Narli, Alp Avi Harari


Acute massive pleuroperitoneal leak-related hydrothorax is a rare, but life-threatening complication of continuous ambulatory peritoneal dialysis (CAPD). Hydrothorax develops right after the initiation of the CAPD or within a few days post-treatment. The late development of hydrothorax in patients treated with CAPD is quite rare. The interpretation of pleuroperitoneal leak-related hydrothorax as a volume overload and subsequent application of hypertonic peritoneal exchange worsen the clinical course and can lead to mortality. We here present the data from a patient who developed acute bilateral hydrothorax at the 16th month of CAPD treatment.

J Med Cases. 2015;6(3):101-104


Hydrothorax; Peritoneal dialysis; Tc99m-MAA scintigraphy

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