[Pleuroperitoneal communication due to diaphragmatic injury as a complication of chest wall resection in a peritoneal dialysis patient; report of a case].
A 78-year-old female undergoing peritoneal dialysis due to chronic renal failure was admitted to our hospital because of a tumor on her right chest wall. The diagnosis was recurrence of hepatocellular carcinoma in the thoracic wall, and a combined resection of the thoracic wall and diaphragm was performed. Peritoneal dialysis was resumed 7 days after surgery, but a right pleural effusion was observed after 6 days of dialysis. Surgery was performed because failure of sutures related to the excised diaphragm was suspected. A thoracotomy revealed a large defect, about 1 cm in size, caused by injury of the diaphragm by an edge of the resected rib at the another site of a previous resection of the diaphragm. This defect was closed with sutures and the diaphragm was reinforced with a polyglycolic acid felt and fibrin glue. Peritoneal dialysis was resumed 7 days after surgery and has continued to date without recurrence.
Kanauchi
Naoki
N
Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.
Oizumi
H
H
Kato
H
H
Endo
M
M
Sadahiro
M
M
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000601:surgery; D003964:Diaphragm / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010532:Peritoneal Diseases / Q000209:etiology* / Q000601:surgery; D010995:Pleural Diseases / Q000209:etiology* / Q000601:surgery; D010996:Pleural Effusion / Q000209:etiology; D011183:Postoperative Complications; D013899:Thoracic Neoplasms / Q000601:surgery; D013908:Thoracotomy