Year: 2002
Type: article
Study design: Case Report
Abstract: ：Wepresentapatientwhodevelopedamassiveright-Sidedhydrothorax twomonths after starting CAPD treatment，a41-year-01d female withIgA nephropathy Who was followed up at our outpatient clinic．Due to deteriorating renalfunction，a peritonealcatheterwasinsertedonMarch29，1997．CAPDwasimplementedonthesame day．At the time when CAPD wasinitiated，the patient was experienclng repeated episodes of nausea and vomiting，prObably due to uremia．On May27，She developed dyspnea．AchestX-rayShowedmassiveright-Sidedhydrothorax．Afterextracorporeal ultrafiltration was performed，the patient s respiratory distress was rapidly relieved． Twodayslater，CAPDwasresumed，butthisresultedinalmostimmediaterecurrenceof massive right-Sided hydrothorax．The property of the drained fluidfrom the right pleural cavity and scintigraphy uslng Technetium-99m macroaggregated albumin COnfirmed pleuroperitoneal communication．Increasedintra-abdominal pressure due to frequent vomiting may be responsible for hydrothorax due to pleuroperitoneal communication． Key words：pleuroperitoneal communication，hydrothorax，intra-abdominal pressure， COntinuousambulatoryperitonealdialysIS mTRODUCTION Continuousambulatory peritonealdialysis(CAPD)is an established and effective renal replacementtherapyforpatientswithend-Stagerenaldisease．Upto2％ofCAPDpatients tendtohaverighthydrothoraxduetopleuroperitonealcommunication(PPC)1)．Wepresent a patient who developed a massive right-Sided hydrothorax(MRH)two months after StartingCAPDtreatment．ThecausesresponsiblefortheoccurrenceofPPCarediscussed． CASEREPORT A41-year-01d female was diagnosed withIgA nephropathyin December，1995．She was Subsequently followed up at our outpatient clinic．rhe to deteriorating renalfunction，a peritonealcatheterwasinsertedonMarCh29，1997．CAPDwascommencedonthesameday． Atthetimeshewasexperienclngrepeatedepisodesofnauseaandvomiting，prObablydueto
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W412241197