Atypical Pleural Effusions in Patients on Peritoneal Dialysis

Hari Wimaleswaran, Stella Setyapranata, Paul Champion de Crespigny, Stephen G. Holt

Abstract


Rarely, peritoneal dialysis (PD) is complicated by a hydrothorax, often referred to as a pleural effusion, that commonly occurs early after starting PD and is usually right-sided. We illustrate three cases of atypical hydrothorax presenting in PD patients. Case 1 is a 72-year-old lady with left-sided pleuroperitoneal communication confirmed on nuclear imaging. Case 2 is a 50-year-old lady who presented with right-sided pleuroperitoneal leak which occurred 11 months after commencement of PD. The last case is a 64-year-old man with congestive cardiac failure secondary to ischemic heart disease who had recurrent right-sided pleural effusion despite multiple pleural drainage. He continued on PD with no drainage problems. Pleuroperitoneal leaks need to be excluded even in patients presenting with left-sided effusion and in those who present late after commencement of PD.




World J Nephrol Urol. 2015;4(4):256-259
doi: http://dx.doi.org/10.14740/wjnu227w

Keywords


Peritoneal dialysis; Pleuroperitoneal leak; Hydrothorax; Pleural effusion

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