Hydrothorax Associated With Peritoneal Dialysis As An Unusual Cause Of Shortness Of Breath

Yıl 2017, Cilt: 30 Sayı: 3, 145 - 147, 13.01.2017

Aysun Şengül Kevser Melek Erkan Şengül

Öz

Pleural effusion due to pleuroperitoneal communication is not
a common complication in patients on continuous ambulatory peritoneal dialysis
(CAPD). It usually occurs as a result of diaphragmatic defect and develops on
the right hemithorax. Pleuroperitoneal leak should be considered in the
differantial diagnosis of a transudative pleural effusion. We present the case
of a 42-year-old woman treated with CAPD who had acute shortness of breath and
ultrafiltration loss as a result of pleural effusion due to pleuroperitoneal
leak.

Anahtar Kelimeler

glucose, peritoneal dialysis, pleural effusion, transuda

Akut Nefes Darlığının Nadir bir Nedeni Olarak Periton Diyalizi ile İlişkili Hidrotoraks

Öz

Sürekli ayaktan periton diyalizi (SAPD) hastalarında plöroperitoneal
geçişlere bağlı plevral effüzyon gelişimi sık rastlanan bir komplikasyon
değildir. Genellikle diafragmatik defektlere bağlı olarak gelişmekte ve
sıklıkla sağ tarafta ortaya çıkmaktadır. Bu durumun, transüda özelliği olan
plevral effüzyonların ayırıcı tanısında yer alması gerekir. Burada SAPD
tedavisi olan 42 yaşında bir kadın hastada ani gelişen nefes darlığı ve
ultrafiltrasyon kaybı ile ortaya çıkan plöroperitoneal geçiş ile ilişkili
plevral effüzyon sunulmuştur.

Anahtar Kelimeler

glukoz, periton diyalizi, plevral effüzyon, transüda

Kaynakça

• Referans1 Momenin N, Colletti PM, Kaptein EM. Low pleural fluid-to-serum glucose gradient indicates pleuroperitoneal communication in peritoneal dialysis patients: presentation of two cases and a review of the literature. Nephrol Dial Transplant 2012;27:1212-1219.
• Referans2 Lew SQ. Hydrothorax: pleural effusion associated with peritoneal dialysis. Perit Dial Int 2010;30:13-18.
• Referans3 Edward SR, Unger AM: Acute hydrothorax: a new complication of peritoneal dialysis. JAMA 1967;199:853-855.
• Referans4 Nomoto Y, Suga T, Nakajima K, et al. Acute hydrothorax in continuous ambulatory peritoneal dialysis: a collaborative study of 161 centres. Am J Nephrol 1989;9:363-367.
• Referans5 Ramon RG, Carrasco AM: Hydrothorax in peritoneal dialysis. Perit Dial Int 1998;18:540-546.
• Referans6 Yim AP, Lee TW, Wan IY, Ng C. Images in cardiothoracic surgery. Pleuroperitoneal fistula. Ann Thorac Surg 2002; 73: 1327.
• Referans7 Saillen P, Mossiman F, Wauters JP. Hydrothorax and end-stage chronic renal failure. Chest 1991;99:1010-1011.
• Referans8 Kennedy C, McCarthy C, Alken S, et al. Pleuroperitoneal leak complicating peritoneal dialysis: a case series. Int J Nephrol 2011;2011:526753.
• Referans9 Leblanc M, Ouimet D, Pichette V. Dialysate leaks in peritoneal dialysis. Semin Dial 2001;14:50-54.
• Referans10 Chow KM, Szeto CC, Wong TY, Li P. Hydrothorax complicating peritoneal dialysis: diagnostic value of glucose concentration in pleural fluid aspirate. Perit Dial Int 2002;22:525-528.
• Referans11 Ramaema DP, Mpikashe P. Pleuroperitoneal leak: an unusual cause of acute shortness of breath in a peritoneal dialysis patient. Case Rep Radiol 2014;2014:614846.