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The new method to make diagnosis and identify the location of leakage of pleuroperitoneal communication in peritoneal dialysis patients

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Abstract

Pleuroperitoneal communication is a severe complication in peritoneal dialysis, and about half of the patients forced to discontinue peritoneal dialysis. The method of coloring dialysis solution by indocyanine green or CT peritoneography have been reported to make diagnosis of pleuroperitoneal communication, however sensitivity of these tests is not a satisfactory level. By repairing the pleural hole with thoracoscopic surgery, it is possible to resume peritoneal dialysis. However, the recurrence rate is very high unless precisely detecting the location of the pleural hole during surgery. We report three cases of pleuroperitoneal communication in peritoneal dialysis patients, in which we found the combination of contrast-enhanced ultrasonography and the indocyanine green fluorescence system are reliable method to make diagnosis and identify the location of leakage of pleuroperitoneal communication. By making definite diagnosis and precisely identifying the localization, we were able to close diaphragm holes by video-assisted thoracoscopic surgery.

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Authors and Affiliations

  1. Department of Nephrology, Shin-Yurigaoka General Hospital, Furusawa, 255, Asao, Kawasaki, Kanagawa, 215-0026, Japan

    Ryohei Inanaga, Kengo Asahina, Naohiro Muraki, Maya Jimbo & Michiya Shinozaki

  2. Department of Thoracic Surgery, Shin-Yurigaoka General Hospital, Kanagawa, Japan

    Makoto Oda & Rurika Hamanaka

  3. Department of Thoracic Surgery, Hachinohe Red Cross Hospital, Aomori, Japan

    Kojiro Shiga

Authors
  1. Ryohei Inanaga
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  2. Makoto Oda
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  3. Kengo Asahina
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  4. Naohiro Muraki
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  5. Maya Jimbo
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  6. Kojiro Shiga
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  7. Rurika Hamanaka
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  8. Michiya Shinozaki
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Corresponding author

Correspondence to Ryohei Inanaga.

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All authors have declared no competing interests.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee at which the studies were conducted and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Inanaga, R., Oda, M., Asahina, K. et al. The new method to make diagnosis and identify the location of leakage of pleuroperitoneal communication in peritoneal dialysis patients. CEN Case Rep 11, 471–476 (2022). https://doi.org/10.1007/s13730-022-00701-6

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  • DOI: https://doi.org/10.1007/s13730-022-00701-6

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