title: [Pleuroperitoneal communication with liver cirrhosis and chronic kidney disease needed hemodialysis successfully treated by video-assisted thoracoscopic surgery; report of a case].
abstract: A 59-year-old man treated with hemodialysis for liver cirhhosis and chronic kidney disease developed right pleural effusion and ascites. Ascites always decreased after thoracocentesis for pleural effusion. In spite of repeated treatment with chest tube drainage, massive pleural effusion reappeared. Under the diagnosis of pleuroperitoneal communication, surgical repair of the diaphragm by video assisted thoracoscopic surgery (VATS) were performed. Bulla and pin hole were found and they were resected and sutured. Surgery was safely and successfully accomplished though the patient had Child-Pugh B liver cirhhosis. Pleural effusion disappeared after surgery.
authors: Department of Surgery, Takasago Municipal Hospital, Takasago, Japan.
authors: Kenji
authors: K
authors: Tsuboshima
authors: Yasumi
authors: Y
authors: Matoba
authors: Masanobu
authors: M
authors: Sato
authors: Iwao
authors: I
authors: Kobayashi
authors: Shinichiro
authors: S
authors: Kobayashi
authors: Hiroaki
authors: H
authors: Ohue
authors: Yoshihisa
authors: Y
authors: Watanabe
authors: Toru
authors: T
authors: Ohno
mesh_terms: D002908:Chronic Disease; D003964:Diaphragm / Q000601:surgery*; D006801:Humans; D007674:Kidney Diseases / Q000628:therapy; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010532:Peritoneal Diseases / Q000601:surgery*; D010996:Pleural Effusion / Q000601:surgery*; D006435:Renal Dialysis; D020775:Thoracic Surgery, Video-Assisted