Massive hydrothorax complicating peritoneal dialysis. Isotopic investigation (peritoneopleural scintigraphy).
Massive hydrothorax occurring during continuous ambulatory peritoneal dialysis is a rare complication that may appear at any time during the course of the treatment. Most of the time, it is right-sided and is more frequent in female patients. A case is presented that was investigated by peritoneopleural scintigraphy. A rapid accumulation of the radiopharmaceutical over the right hemithorax was observed. To explain that finding, a macroscopic diaphragmatic defect was suspected. Different therapeutic approaches are presented.
Lepage
S
S
Department of Cardiology, Center Hospitalier Universitaire de Sherbrooke, Québec, Canada.
Bisson
G
G
Verreault
J
J
Plante
G E
GE
D005260:Female; D006801:Humans; D006876:Hydrothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D008875:Middle Aged; D010529:Peritoneal Cavity / Q000000981:diagnostic imaging*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010994:Pleura / Q000000981:diagnostic imaging*; D010996:Pleural Effusion / Q000000981:diagnostic imaging* / Q000209:etiology; D011877:Radionuclide Imaging; D013671:Technetium Tc 99m Sulfur Colloid
D013671:Technetium Tc 99m Sulfur Colloid