A Case of ‘Sweet’ Hydrothorax in a Patient on Peritoneal Dialysis

  • Radovan Hojs
  • Nejc Piko Department of Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Maribor, Slovenia
  • Martin Hren Department of Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Maribor, Slovenia
  • Sebastjan Bevc Department of Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Maribor, Slovenia and Medical Faculty Maribor, University of Maribor, Maribor, Slovenia
  • Robert Ekart Medical Faculty Maribor, University of Maribor, Maribor, Slovenia and Department of Dialysis, Clinic for Internal Medicine, University Medical Centre Maribor, Maribor, Slovenia

Keywords

Peritoneal dialysis, pleuroperitoneal communication, pleural effusion

Abstract

Non-infectious complications are an important cause of peritoneal dialysis failure. Increased intra-abdominal pressure resulting from dialysate inflow into the peritoneal cavity can cause leaks, including hydrothorax due to pleuroperitoneal communication. The authors describe a patient on peritoneal dialysis with a newly discovered pleural effusion with a high glucose level. The patient was treated conservatively with peritoneal dialysis cessation and switched to haemodialysis with complete resolution of the pleural effusion. After 5 weeks, the patient successfully restarted peritoneal dialysis without recurrence of the hydrothorax.

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  • Published: 2019-02-27

    Issue: LATEST ONLINE (view)

    Section: Hospital of the Month

    How to cite:
    Hojs, R., Piko, N., Hren, M., Bevc, S., & Ekart, R. (2019). A Case of ‘Sweet’ Hydrothorax in a Patient on Peritoneal Dialysis. European Journal of Case Reports in Internal Medicine, 2. https://doi.org/https://doi.org/10.12890/2019_001060