Skip to main content
SpringerLink
Log in

Right hydrothorax found soon after introduction of continuous ambulatory peritoneal dialysis: thoracoscopic surgery for pleuroperitoneal communication

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Hydrothorax due to pleuroperitoneal communication is a rare complication in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). One of the problems of this complication is the need to cease CAPD, which means that the patient must shift completely to hemodialysis. Therefore, a quick, minimally invasive, and complete surgical repair of the pleuroperitoneal communication is required. We recently treated a patient who had developed a right hydrothorax soon after the introduction of CAPD. Clinical examination led to a diagnosis of pleuroperitoneal communication. The patient was successfully treated by complete thoracoscopic repair of the communication. We could precisely identify the defective site on the diaphragm using the dye-added CAPD solution method. CAPD was restarted 5 days after the operation, and there was no recurrence of hydrothorax after the operation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Edward SR, Unger AM. Acute hydrothorax: a new complication of peritoneal dialysis. JAMA 1976;199:853–855.

    Article  Google Scholar 

  2. Nomoto Y, Suga T, Nakajima K, Sakai H, Osawa G, Ota K. Acute hydrothorax in continuous ambulatory peritoneal dialysis: a collaborative study of 161 centers. Am J Nephrol 1989;9:363–367.

    Article  PubMed  CAS  Google Scholar 

  3. Yen HT, Lu HY, Liu HP, Hsieh MJ. Video-assisted thoracoscopic surgery for hydrothorax in peritoneal dialysis patients: check-air-leakage method. Eur J Cardiothorac Surg 2005;28: 648–649.

    Article  PubMed  Google Scholar 

  4. Tsunezuka Y, Hatakeyama S, Iwase T, Watanabe G. Videoassisted thoracoscopic treatment for pleuroperitoneal communication in peritoneal dialysis. Eur J Cardiothorac Surg 2001;20:205–207.

    Article  PubMed  CAS  Google Scholar 

  5. Sydney T, Wing HC, Anthony WC, Tang Fu KL, Wing SC. Video-assisted thoracoscopic talc pleurodesis is effective for maintenance of peritoneal dialysis in acute hydrothorax complicating peritoneal dialysis. Nephrol Dial Transplant 2003;18:804–808.

    Article  Google Scholar 

  6. Meyers MA. The spread and localization of acute intraperitoneal effusions. Radiology 1970;95:547–554.

    PubMed  CAS  Google Scholar 

  7. Yonechi A, Higuti M, Shio Y, Suzuki Y, Fujiu K, Kanno R, et al. Video-assisted thoracoscopic treatment for a patient with pleuroperitoneal communication complicating CAPD. Jpn J Chest Surg 2002;16:193–198.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardio-thoracic Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, 060-8543, Japan

    Makoto Hashimoto, Atsushi Watanabe, Hitoki Hashiguchi, Shinji Nakashima & Tetsuya Higami

Authors
  1. Makoto Hashimoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Atsushi Watanabe
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hitoki Hashiguchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Shinji Nakashima
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Tetsuya Higami
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Makoto Hashimoto.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hashimoto, M., Watanabe, A., Hashiguchi, H. et al. Right hydrothorax found soon after introduction of continuous ambulatory peritoneal dialysis: thoracoscopic surgery for pleuroperitoneal communication. Gen Thorac Cardiovasc Surg 59, 499–502 (2011). https://doi.org/10.1007/s11748-010-0703-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-010-0703-y

Key words

Search

Navigation