A Case of Hydrothorax Aggravated by Peritoneal Dialysate Leakage in Compensated Liver Cirrhosis Patient with Ascites.
- Author:
Gain YOU
1
;
Ho Sik SHIN
;
Yeon Soon JUNG
;
Hark RIM
Author Information
- Publication Type:Case Report
- Keywords: Hydrothorax; Liver cirrhosis; Peritoneal dialysis
- MeSH: Ascites*; Caregivers; Diagnostic Imaging; Drainage; Humans; Hydrothorax*; Liver Cirrhosis*; Peritoneal Dialysis; Pleural Effusion
- From:Kosin Medical Journal 2014;29(1):53-57
- CountryRepublic of Korea
- Language:Korean
- Abstract: The cirrhotic patients with ascites present unique challenge to the renal caregiver. Hydrothorax in a cirrhotic patient treated with PD poses a diagnostic dilemma. Proposed mechanisms for the development of a pleuro-peritoneal communication include congenital diaphragmatic defects, acquired weakening of diaphragmatic fibers caused by high intra-abdominal pressures during peritoneal dialysis, and impairments in lymphatic drainage. Pleural fluid analysis and diagnostic imaging assist in differentiation from other causes of pleural effusion. We report a case of hydrothorax in a compensated cirrhotic patient after recent introduction to peritoneal dialysis.
