[99mTc-MAA peritoneal scintigraphy in pleuroperitoneal comunication in peritoneal dialysis patients].
Peritoneal dialysis is a fully-contrasted alternative for the treatment of end-stage renal disease although it is not exempt of complications. Peritonitis and exit-site infections are among the most frequent complications found. Pleural effusion secondary to pleuroperitoneal communication (PPC) is a serious and uncommon complication in these patients. We present the case of a 50-year old man diagnosed of end-stage renal disease undergoing treatment with peritoneal dialysis who presented progressive dyspnea and right pleural effusion. The peritoneal scintigraphy with (99m)Tc-MAA makes it possible to confirm communication of intraperitoneal dialysis fluid to the pleural cavity.
Hernández Martínez
A C
AC
Servicio de Medicina Nuclear, Hospital Universitario La Paz, Madrid, España. anacristihm@hotmail.com
Marín Ferrer
M D
MD
Coronado Poggio
M
M
Escabias Del Pozo
C
C
Coya Viña
J
J
Martín Curto
L
L
D015314:Dialysis Solutions / Q000493:pharmacokinetics; D004322:Drainage; D005119:Extravasation of Diagnostic and Therapeutic Materials; D005402:Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery / Q000628:therapy; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010532:Peritoneal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D010538:Peritonitis / Q000209:etiology; D010995:Pleural Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D010996:Pleural Effusion / Q000209:etiology* / Q000601:surgery; D018700:Pleurodesis; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin; D013906:Thoracoscopy
D015314:Dialysis Solutions; D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin