Case Report
Volume: 5 | Issue: 5 | Published: May 07, 2021 | Pages: 146 - 149 | DOI: 10.24911/ejmcr/173-1612796288
Recurrent hydrothorax associated with peritoneal dialysis: challenges in the diagnosis of pleuroperitoneal leak
Authors: Krithika Muralidhara , Shashank Dhareshwar , Vinod Nagesh , Limesh Marisiddappa , Prashanth Kedelaya , Renuka Satish
Article Info
Authors
Krithika Muralidhara
Department of Nephrology, St Johns Medical College Hospital, Bangalore, India
Shashank Dhareshwar
Department of Nephrology, St Johns Medical College Hospital, Bangalore, India
Vinod Nagesh
Department of Nephrology, St Johns Medical College Hospital, Bangalore, India
Limesh Marisiddappa
Department of Nephrology, St Johns Medical College Hospital, Bangalore, India
Prashanth Kedelaya
Department of Nephrology, St Johns Medical College Hospital, Bangalore, India
Renuka Satish
Department of Nephrology, St Johns Medical College Hospital, Bangalore, India.
Publication History
Received: February 09, 2021
Accepted: April 15, 2021
Published: May 07, 2021
Abstract
Background: Peritoneal dialysis can be associated with various mechanical complications. Among them, pleuroperitoneal leak leading to recurrent hydrothorax is a lesser known entity. The condition can lead to life-threatening complications like respiratory distress, cardiac failure, arrhythmias, and infections. Various imaging modalities like computerized tomography, magnetic resonance imaging, and nuclear scans have been used to establish the diagnosis of pleuroperitoneal leak. Case Presentation: An elderly gentleman with multiple co-morbidities on peritoneal dialysis presented with recurrent hydrothorax. After ruling out cardiac, infective, and neoplastic etiologies as causes for hydrothorax, the diagnosis of pleuroperitoneal leak was established using computerized tomography peritoneography. Despite temporarily interrupting peritoneal dialysis, our patient developed recurrent hydrothorax, thus requiring to be transferred to hemodialysis. Conclusion: A high index of clinical suspicion and choice of the imaging modality will help in the timely diagnosis of pleuroperitoneal leak and appropriate therapeutic intervention.
Keywords: Pleuroperitoneal leak, hydrothorax, peritoneal dialysis, CT peritoneography, green
Pubmed Style
Krithika Muralidhara, Shashank Dhareshwar, Vinod Nagesh, Limesh Marisiddappa, Prashanth Kedelaya, Renuka Satish. Recurrent hydrothorax associated with peritoneal dialysis: challenges in the diagnosis of pleuroperitoneal leak. EJMCR. 2021; 07 (May 2021): 146-149. doi:10.24911/ejmcr/173-1612796288
Web Style
Krithika Muralidhara, Shashank Dhareshwar, Vinod Nagesh, Limesh Marisiddappa, Prashanth Kedelaya, Renuka Satish. Recurrent hydrothorax associated with peritoneal dialysis: challenges in the diagnosis of pleuroperitoneal leak. https://ejmcr.com/articles/1317 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1612796288
AMA (American Medical Association) Style
Krithika Muralidhara, Shashank Dhareshwar, Vinod Nagesh, Limesh Marisiddappa, Prashanth Kedelaya, Renuka Satish. Recurrent hydrothorax associated with peritoneal dialysis: challenges in the diagnosis of pleuroperitoneal leak. EJMCR. 2021; 07 (May 2021): 146-149. doi:10.24911/ejmcr/173-1612796288
Vancouver/ICMJE Style
Krithika Muralidhara, Shashank Dhareshwar, Vinod Nagesh, Limesh Marisiddappa, Prashanth Kedelaya, Renuka Satish. Recurrent hydrothorax associated with peritoneal dialysis: challenges in the diagnosis of pleuroperitoneal leak. EJMCR. (2021), [cited December 25, 2024]; 07 (May 2021): 146-149. doi:10.24911/ejmcr/173-1612796288
Harvard Style
Krithika Muralidhara, Shashank Dhareshwar, Vinod Nagesh, Limesh Marisiddappa, Prashanth Kedelaya, Renuka Satish (2021) Recurrent hydrothorax associated with peritoneal dialysis: challenges in the diagnosis of pleuroperitoneal leak. EJMCR, 07 (May 2021): 146-149. doi:10.24911/ejmcr/173-1612796288
Chicago Style
Krithika Muralidhara, Shashank Dhareshwar, Vinod Nagesh, Limesh Marisiddappa, Prashanth Kedelaya, Renuka Satish. "Recurrent hydrothorax associated with peritoneal dialysis: challenges in the diagnosis of pleuroperitoneal leak." 07 (2021), 146-149. doi:10.24911/ejmcr/173-1612796288
MLA (The Modern Language Association) Style
Krithika Muralidhara, Shashank Dhareshwar, Vinod Nagesh, Limesh Marisiddappa, Prashanth Kedelaya, Renuka Satish. "Recurrent hydrothorax associated with peritoneal dialysis: challenges in the diagnosis of pleuroperitoneal leak." 07.May 2021 (2021), 146-149. Print. doi:10.24911/ejmcr/173-1612796288
APA (American Psychological Association) Style
Krithika Muralidhara, Shashank Dhareshwar, Vinod Nagesh, Limesh Marisiddappa, Prashanth Kedelaya, Renuka Satish (2021) Recurrent hydrothorax associated with peritoneal dialysis: challenges in the diagnosis of pleuroperitoneal leak. , 07 (May 2021), 146-149. doi:10.24911/ejmcr/173-1612796288