Acute Hydrothorax Due to HCC Involving Diaphragm during Peritoneal Dialysis.
- Author:
Yong Sung AHN
1
;
Jin KANG
;
Moo Gon SONG
;
Ki Tae PARK
;
Tae Ik PARK
;
Seung Jae AHN
;
Sang Heon SONG
;
Dong Won LEE
;
Soo Bong LEE
;
Ihm Soo KWAK
Author Information
1. Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. aysmedic@hanmail.net
- Publication Type:Case Report
- Keywords:
Hydrothorax;
Leakage;
Hepatocellular carcinoma;
VATS
- MeSH:
Carcinoma, Hepatocellular
- From:Korean Journal of Nephrology
2006;25(5):851-855
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Massive hydrothorax is uncommon but well recognized complication of peritoneal dialysis. Possible mechanisms include a disorder of lymphatic drainage, pleuro-peritoneal pressure gradient, and congenital diaphragmatic defects. Hydrothorax in a CAPD patient caused by infiltrative disease or malignancy is very rare. Recently, two cases of hydrothorax in CAPD patients caused by systemic amyloidosis involving diaphragm were reported. However, no case of pleuro-peritoneal communication secondary to HCC infiltrating diaphragm was reported. This case was of a hydrothorax due to HCC in a CAPD patient. We performed video-assited thoracoscopic resection of diaphragmatic mass, diaphragmatic repair and thoracoscopic talc pleurodesis. This case showed that malignancy might be considered as a cause of a hydrothorax in a CAPD patient.
