Video-assisted thoracoscopic surgery in continuous ambulatory peritoneal dialysis-related hydrothorax
| Autor: | Ching-Wei Tsai, Chia-Hsing Lee, Ming-Shou Wu, C.-L. Lang, Tze-Wah Kao |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Thoracic Surgery Video-Assisted Pleural effusion business.industry medicine.medical_treatment Hydrothorax Continuous ambulatory peritoneal dialysis Middle Aged medicine.disease Surgery Peritoneal dialysis Pleural disease Peritoneal Dialysis Continuous Ambulatory Effusion Nephrology Video-assisted thoracoscopic surgery medicine Thoracoscopy Humans Female business |
| Zdroj: | Kidney International. 74:136 |
| ISSN: | 0085-2538 |
| DOI: | 10.1038/sj.ki.5002723 |
| Popis: | A 50-year-old lady with end-stage renal disease developeddyspnea, nausea, and vomiting soon after commencingcontinuous ambulatory peritoneal dialysis (CAPD) for 1week. The chest X-ray showed massive right-sided pleuraleffusion (Figure 1a), which was transudative in characterwith high sugar levels. To establish the diagnosis ofCAPD-related hydrothorax, a peritoneal–pleural communi-cation was confirmed by Tc-99m peritoneal scintigraphy,where an uptake signal appeared in the right side of thoraxwithin 30min of tracer injection into the peritoneal cavity(Figure 1b). During the video-assisted thoracoscopic surgery,a defect about 0.3cm in diameter on the right diaphragm wasrepaired by direct suture with a mesh (Figure 2). Thepostoperative course was smooth and CAPD was resumed2 weeks later without event. The chest X-ray did not showany recurrence of the pleural effusion up to 5 months later.Both Tc-99m peritoneal scintigraphy and video-assistedthoracoscopic surgery with mesh repair provide a safe,simple, and quick way to diagnose and treat CAPD-relatedhydrothorax. |
| Databáze: | OpenAIRE |
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