Distribution of intraperitoneal chemotherapy into the pleural cavity.
BACKGROUND
Intraperitoneal chemotherapy is an established treatment for abdominal and pelvic malignancies. Several catheter-related complications have been reported. We report a case of abnormal distribution of intraperitoneal chemotherapy into the pleural cavity.


METHODS
A patient receiving intraperitoneal cisplatin developed shortness of breath. A pleural effusion was diagnosed and was evacuated by thoracentesis. Abnormal distribution of instilled fluid was responsible for her distress.


CONCLUSIONS
Communications exist between the peritoneal and pleural cavities. The use of intraperitoneal chemotherapy or radioactive material may lead to respiratory complications if abnormal distribution occurs.
Vaccarello
L
L
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Berghella
V
V
Rubin
S C
SC
Hoskins
W J
WJ
D000970:Antineoplastic Agents / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D007263:Infusions, Parenteral / Q000009:adverse effects*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000188:drug therapy; D010994:Pleura
D000970:Antineoplastic Agents