Peritoneal Leak Causing Right Sided Hydrothorax in A Case of Chronic Kidney Disease Undergoing Continuous Ambulatory Peritoneal Dialysis: A Case Report From Nepal
ABSTRACT Continuous ambulatory peritoneal dialysis (CAPD) is used for the maintenance dialysis in patients with end stage renal disease. Treatment's complications in CAPD generally exist, of which transudate hydrothorax falls under the minority of the cases. Here, we aim to present a case of a...
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Wiley
2024-11-01
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| Online Access: | https://doi.org/10.1002/ccr3.9577 |
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| author | Kritika Bhattarai Ashish Acharya Saurav Sarkar |
| author_facet | Kritika Bhattarai Ashish Acharya Saurav Sarkar |
| author_sort | Kritika Bhattarai |
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| description | ABSTRACT Continuous ambulatory peritoneal dialysis (CAPD) is used for the maintenance dialysis in patients with end stage renal disease. Treatment's complications in CAPD generally exist, of which transudate hydrothorax falls under the minority of the cases. Here, we aim to present a case of a 51 years old female, a newly diagnosed case of chronic kidney disease (CKD) undergoing CAPD for 3 weeks who presented at our institution with complaints of difficulty in breathing. The symptom had gradually progressed after her recent CAPD session. Several investigations were sought out, of which a chest X‐ray illustrated a right sided hydrothorax. Pleural fluid analysis showed a transudate characteristic, and other diagnostic tests suggested that a peritoneal fluid leak might have caused the hydrothorax. CAPD induced hydrothorax is one of the uncommon noninfectious complications associated with peritoneal dialysis; its diagnosis can be made by studying both biochemical and radiological parameters of the patient. The definitive diagnosis is made by establishing a pleuro‐peritoneal communication using peritoneal scintigraphy. An immediate halt in CAPD will allow the remission of hydrothorax as mentioned below in our case report. The definitive management includes video assisted thorascopic surgery with mechanical pleurodesis. An appropriate diagnostic and management approach should be sought in CAPD induced transudate hydrothorax. An immediate halt in CAPD with surgical interventions can be considered as a treatment options for such complication. |
| format | Article |
| id | doaj-art-eface53b210c4f93b4258cebfdf491a8 |
| institution | OA Journals |
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| language | English |
| publishDate | 2024-11-01 |
| publisher | Wiley |
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| spelling | doaj-art-eface53b210c4f93b4258cebfdf491a82025-08-20T02:23:34ZengWileyClinical Case Reports2050-09042024-11-011211n/an/a10.1002/ccr3.9577Peritoneal Leak Causing Right Sided Hydrothorax in A Case of Chronic Kidney Disease Undergoing Continuous Ambulatory Peritoneal Dialysis: A Case Report From NepalKritika Bhattarai0Ashish Acharya1Saurav Sarkar2Nepal Medical College and Teaching Hospital Kathmandu University Kathmandu NepalNepal Medical College and Teaching Hospital Kathmandu University Kathmandu NepalDepartment of Internal Medicine, Nepal Medical College and Teaching Hospital Kathmandu University Kathmandu NepalABSTRACT Continuous ambulatory peritoneal dialysis (CAPD) is used for the maintenance dialysis in patients with end stage renal disease. Treatment's complications in CAPD generally exist, of which transudate hydrothorax falls under the minority of the cases. Here, we aim to present a case of a 51 years old female, a newly diagnosed case of chronic kidney disease (CKD) undergoing CAPD for 3 weeks who presented at our institution with complaints of difficulty in breathing. The symptom had gradually progressed after her recent CAPD session. Several investigations were sought out, of which a chest X‐ray illustrated a right sided hydrothorax. Pleural fluid analysis showed a transudate characteristic, and other diagnostic tests suggested that a peritoneal fluid leak might have caused the hydrothorax. CAPD induced hydrothorax is one of the uncommon noninfectious complications associated with peritoneal dialysis; its diagnosis can be made by studying both biochemical and radiological parameters of the patient. The definitive diagnosis is made by establishing a pleuro‐peritoneal communication using peritoneal scintigraphy. An immediate halt in CAPD will allow the remission of hydrothorax as mentioned below in our case report. The definitive management includes video assisted thorascopic surgery with mechanical pleurodesis. An appropriate diagnostic and management approach should be sought in CAPD induced transudate hydrothorax. An immediate halt in CAPD with surgical interventions can be considered as a treatment options for such complication.https://doi.org/10.1002/ccr3.9577case reportcontinuous ambulatory peritoneal dialysishydrothoraxNepal |
| spellingShingle | Kritika Bhattarai Ashish Acharya Saurav Sarkar Peritoneal Leak Causing Right Sided Hydrothorax in A Case of Chronic Kidney Disease Undergoing Continuous Ambulatory Peritoneal Dialysis: A Case Report From Nepal Clinical Case Reports case report continuous ambulatory peritoneal dialysis hydrothorax Nepal |
| title | Peritoneal Leak Causing Right Sided Hydrothorax in A Case of Chronic Kidney Disease Undergoing Continuous Ambulatory Peritoneal Dialysis: A Case Report From Nepal |
| title_full | Peritoneal Leak Causing Right Sided Hydrothorax in A Case of Chronic Kidney Disease Undergoing Continuous Ambulatory Peritoneal Dialysis: A Case Report From Nepal |
| title_fullStr | Peritoneal Leak Causing Right Sided Hydrothorax in A Case of Chronic Kidney Disease Undergoing Continuous Ambulatory Peritoneal Dialysis: A Case Report From Nepal |
| title_full_unstemmed | Peritoneal Leak Causing Right Sided Hydrothorax in A Case of Chronic Kidney Disease Undergoing Continuous Ambulatory Peritoneal Dialysis: A Case Report From Nepal |
| title_short | Peritoneal Leak Causing Right Sided Hydrothorax in A Case of Chronic Kidney Disease Undergoing Continuous Ambulatory Peritoneal Dialysis: A Case Report From Nepal |
| title_sort | peritoneal leak causing right sided hydrothorax in a case of chronic kidney disease undergoing continuous ambulatory peritoneal dialysis a case report from nepal |
| topic | case report continuous ambulatory peritoneal dialysis hydrothorax Nepal |
| url | https://doi.org/10.1002/ccr3.9577 |
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