What is Pleuroperitoneal leak?
Pleuroperitoneal leak is an uncommon complication of continuous ambulatory peritoneal dialysis (CAPD), with an estimated incidence of 1.6%. It should be suspected in these patients when they present with recurrent unilateral pleural effusions and/or acute shortness of breath following dialysate infusion.
What are the complications of peritoneal dialysis?
Complications of peritoneal dialysis can include:
- Infections. An infection of the abdominal lining (peritonitis) is a common complication of peritoneal dialysis.
- Weight gain. The dialysate contains sugar (dextrose).
- Hernia. Holding fluid in your abdomen for long periods may strain your muscles.
- Inadequate dialysis.
What is a PD leak?
Dialysate leakage represents a major noninfectious complication of PD and includes any dialysate loss from the peritoneal cavity other than via the lumen of the catheter. Exit-site leakage refers to the appearance of any wetness around the PD catheter identified as dialysate.
Can the peritoneum leak?
A pleuroperitoneal leak is a rare but important complication of peritoneal dialysis and needs consideration in any patient on peritoneal dialysis presenting with unilateral pleural effusion.
Does peritoneal dialysis cause shortness of breath?
Introduction. Pleuroperitoneal leak is an uncommon complication of continuous ambulatory peritoneal dialysis (CAPD), with an estimated incidence of 1.6%. It should be suspected in these patients when they present with recurrent unilateral pleural effusions and/or acute shortness of breath following dialysate infusion.
Can PD dialysis cause fluid in the lungs?
Summary. Peritoneal dialysis is a rare cause of pleural effusion. It appears, as a complication of continuous ambulatory peritoneal dialysis (CAPD), in approximately 2% of all CAPD patients.
What is the most frequent complication of peritoneal dialysis?
The most frequent and important complication of peritoneal dialysis (PD) catheters is infection, which may result in catheter loss and discontinuation of PD [1,2].
What can cause pleural effusion?
Exudative (protein-rich fluid) pleural effusions are most commonly caused by:
- Pneumonia.
- Cancer.
- Pulmonary embolism.
- Kidney disease.
- Inflammatory disease.
Can peritonitis cause pleural effusion?
Chest radiographs are abnormal in 50-75 percent of patients with tuberculous peritonitis and commonly associated with pleural effusion.