Dialysate leakage into pericardium in an infant on long-term peritoneal dialysis.
We report on a 2-year-old boy on automated peritoneal dialysis (PD) with a history of multiple hernias and dialysate leaks who developed pericardial effusion. Magnetic resonance imaging (MRI) demonstrated a peritoneo-pericardial fistula. Dialysis had to be discontinued, since head-down tilt reproducibly induced significant hypotension. In PD patients with pericardial effusion a peritoneo-pericardial leak should be considered.
Borzych
Dagmara
D
Department of Pediatric Nephrology, Medical University of Gdansk, Gdansk, Poland.
Ley
Sebastain
S
Schaefer
Franz
F
Billing
Heiko
H
Ley-Zaporozhan
Julia
J
Schenk
Jens
J
Schmitt
Claus Peter
CP
D002675:Child, Preschool; D015314:Dialysis Solutions / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000175:diagnosis* / Q000209:etiology; D005402:Fistula / Q000209:etiology / Q000473:pathology; D006801:Humans; D016030:Kidney Transplantation; D008279:Magnetic Resonance Imaging; D008297:Male; D010490:Pericardial Effusion / Q000139:chemically induced* / Q000473:pathology / Q000601:surgery; D010496:Pericardium / Q000187:drug effects* / Q000473:pathology; D010529:Peritoneal Cavity / Q000473:pathology*; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D011677:Punctures / Q000009:adverse effects
D015314:Dialysis Solutions