title: Pleural effusion in a peritoneal dialysis patient.
abstract: A 34-year-old female presented with end-stage renal disease (ESRD) treated by peritoneal dialysis (CAPD) complained of a dry cough. Chest X-ray and chest computed tomography (CT) scan revealed massive right hydrothorax. Because the glucose concentration of pleural fluid was markedly high compared with that of serum, we performed isotope and contrast peritoneography. We used CT for localizing it. MRI was also trying to show transdiaphragmatic leakage in peritoneoflural fistula. Temporary discontinuation of CAPD, tetracycline instillation into the pleural space and surgical patch grafting of the diaphragmatic leak have all been described. A novel method may be video-assisted talc pleurodesis.
authors: Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
authors: Eun Hui
authors: EH
authors: Bae
authors: Chang Seong
authors: CS
authors: Kim
authors: Joon Seok
authors: JS
authors: Choi
authors: Soo Wan
authors: SW
authors: Kim