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Nefrología (Madrid)
On-line version ISSN 1989-2284Print version ISSN 0211-6995
Abstract
DIAZ MANCEBO, R. et al. Pleuroperitoneal communication in patients on peritoneal dialysis: One hospital's experience and a review of the literature. Nefrología (Madr.) [online]. 2011, vol.31, n.2, pp.213-217. ISSN 1989-2284.
Peritoneal dialysis is a treatment alternative in patients with advanced chronic kidney disease. The infusion of liquid into the peritoneal cavity leads to an increase in intra-abdominal pressure, which can sometimes produce leaks to the chest, giving rise to pleuroperitoneal communication. This is not a common complication, but it brings about high drop-out rates among patients using the technique. Diagnosis is easy and must be suspected in patients with sudden dyspnoea with low ultrafiltration and pleural effusion in the chest x-ray. Peritoneal rest and a temporary transfer to haemodialysis, and pleurodesis can be effective treatment strategies.
Keywords : Peritoneal dialysis; Pleuroperitonal communication; Secondary hydrothorax; Pleurodesis.