A Case of Hydrothorax Aggravated by Peritoneal Dialysate Leakage in Compensated Liver Cirrhosis Patient with Ascites

Autor:	Hark Rim, Ho Sik Shin, Gain You, Yeon Soon Jung
Rok vydání:	2014
Předmět:	medicine.medical_specialty Cirrhosis business.industry Pleural effusion General surgery medicine.medical_treatment Diaphragmatic breathing Cirrhotic patient medicine.disease Surgery Peritoneal dialysis Lymphatic system Ascites medicine Hydrothorax medicine.symptom business
Zdroj:	Kosin Medical Journal. 29:53-57
ISSN:	2586-7024 2005-9531
DOI:	10.7180/kmj.2014.29.1.53
Popis:	The cirrhotic patients with ascites present unique challenge to the renal caregiver. Hydrothorax in a cirrhotic patient treated with PD poses a diagnostic dilemma. Proposed mechanisms for the development of a pleuroperitoneal communication include congenital diaphragmatic defects, acquired weakening of diaphragmatic fibers caused by high intra-abdominal pressures during peritoneal dialysis, and impairments in lymphatic drainage. Pleural fluid analysis and diagnostic imaging assist in differentiation from other causes of pleural effusion. We report a case of hydrothorax in a compensated cirrhotic patient after recent introduction to peritoneal dialysis.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::65ec825b766e3abc158fd1710216b847 https://doi.org/10.7180/kmj.2014.29.1.53 Zobrazit plný text záznamu