title: [Pleuroperitoneal communication in patients on peritoneal dialysis. One hospital's experience and a review of the literature].
abstract: Peritoneal dialysis is a treatment alternative in patients with advanced chronic kidney disease. The infusion of liquid into the peritoneal cavity leads to an increase in intra-abdominal pressure, which can sometimes produce leaks to the chest, giving rise to pleuroperitoneal communication. This is not a common complication, but it brings about high drop-out rates among patients using the technique. Diagnosis is easy and must be suspected in patients with sudden dyspnoea with low ultrafiltration and pleural effusion in the chest x-ray. Peritoneal rest and a temporary transfer to haemodialysis, and pleurodesis can be effective treatment strategies.
authors: Servicio de Nefrología, Hospital Universitario La Paz, Paseo de la Castellana, Madrid. rdiazm.hulp@salud.madrid.org
authors: R
authors: R
authors: Díaz Mancebo
authors: G
authors: G
authors: Del Peso Gilsanz
authors: M
authors: M
authors: Rodríguez
authors: B
authors: B
authors: Fernández
authors: M
authors: M
authors: Ossorio González
authors: M A
authors: MA
authors: Bajo Rubio
authors: R
authors: R
authors: Selgas Gutiérrez
mesh_terms: D000368:Aged; D001202:Ascitic Fluid / Q000737:chemistry; D001469:Barotrauma / Q000209:etiology*; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D005947:Glucose / Q000032:analysis; D006801:Humans; D006876:Hydrothorax / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D010537:Peritoneum / Q000293:injuries*; D010994:Pleura / Q000293:injuries*; D018700:Pleurodesis; D011877:Radionuclide Imaging; D006435:Renal Dialysis; D016156:Respiratory Tract Fistula / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D012189:Retrospective Studies; D012421:Rupture / Q000209:etiology; D013668:Technetium Tc 99m Aggregated Albumin
chemical_list: D013668:Technetium Tc 99m Aggregated Albumin; D005947:Glucose