Pleuro-Peritoneal Fistula – An Important Condition to Consider in Patients using Peritoneal Dialysis
Shah, S.; Robson, N.; Sajid, S.
Acute Medicine 14(2): 69-71
2015
ISSN/ISBN: 1747-4892 PMID: 26305084 Document Number: 16748
Pleural effusions are a common finding in patients admitted on the medical take. This case decribes a patient using peritoneal dialysis who presented with progressive dyspnoea. Clinical examination and chest x-ray confirmed the presence of a pleural effusion. Thoracocentesis confirmed a 'sweet' effusion (higher pleural: serum glucose content), suggesting a pleuro-peritoneal leak. Optimal management involved switch from peritoneal to haemodialysis and referral to a specialised renal unit. This case highlights the need to consider the diagnosis of pleuro-peritoneal leak in patients using peritoneal dialysis who present to the acute medical unit with pleural effusion.
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