Peritoneal-mediastinal leakage complication of peritoneal dialysis.
The authors report a case of mediastinal fluid collection resulting from peritoneal-mediastinal communication after continuous ambulatory peritoneal dialysis (CAPD). To the best of the authors' knowledge, this is the first reported case in the medical literature. A dry cough developed in the patient who had been receiving CAPD for 4 years. A mediastinal mass owing to peritoneal leakage of dialysate to the mediastinum was confirmed by a computed tomography scan taken 4 hours after the intraperitoneal infusion of contrast-mixed dialysate. The leakage persisted for 12 weeks after the discontinuation of CAPD fluid instillation.
Kim
Yong-Lim
YL
Division of Nephrology, Department of Internal Medicine, Kyungpook University Hospital, Daegu, South Korea. ylkim@knu.ac.kr
Cho
Young-Jun
YJ
Park
Sun-Hee
SH
Jeon
Kyungnyeo
K
Bae
Kyungsoo
K
Cho
Dong-Kyu
DK
D000328:Adult; D003371:Cough / Q000209:etiology; D019694:Hepatitis B, Chronic / Q000150:complications; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010537:Peritoneum / Q000196:embryology / Q000648:ultrastructure; D010994:Pleura / Q000196:embryology / Q000648:ultrastructure; D010996:Pleural Effusion / Q000209:etiology; D011312:Pressure; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000209:etiology / Q000503:physiopathology