Ostalo
CT PERITONEOGRAPHY – DIAGNOSTIC METHOD OF DETECTING SWEET HYDROTHORAX IN PATIENTS ON PERITONEAL DIALYSIS
DEAN MARKIĆ
orcid.org/0000-0001-5696-0850
; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
ANTUN GRŠKOVIĆ
; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
DRAŽEN RAHELIĆ
; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
MAURO MATERLJAN
; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
MARIN TROŠELJ
; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
MARTINA PAVLETIĆ PERŠIĆ
; Klinički bolnički centar Rijeka, Zavod za nefrologiju i dijalizu,Rijeka, Hrvatska
BOŽIDAR VUJIČIĆ
; Klinički bolnički centar Rijeka, Zavod za nefrologiju i dijalizu,Rijeka, Hrvatska
LIDIJA ORLIĆ
; Klinički bolnički centar Rijeka, Zavod za nefrologiju i dijalizu,Rijeka, Hrvatska
VANESA VUJIČIĆ
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
IVAN PAVLOVIĆ
; Klinički bolnički centar Rijeka, Klinički zavod za radiologiju, Rijeka, Hrvatska
SANJIN RAČKI
orcid.org/0000-0002-3736-0929
; Klinički bolnički centar Rijeka, Zavod za nefrologiju i dijalizu,Rijeka, Hrvatska
Sažetak
Peritoneal dialysis (PD) can be considered as the first method to start dialysis treatment because it improves the patient quality of life and survival compared to hemodialysis (in the first two years). Hydrothorax is a rare complication of PD. We present a 66-year-old female patient diagnosed with end-stage renal disease caused by chronic tubulointerstitial nephritis. One month after peritoneal catheter had been inserted, the patient started continuous ambulatory PD. Several weeks after PD had been introduced, the patient complained of cough and weight gain. Chest x-ray revealed pleural effusion on the right side and pleural puncture proved a high concentration of glucose in the aspirate, and the diagnosis of ‘sweet hydrothorax’ was made. Additionally, computerized tomography (CT) peritoneography clearly showed contrast leak from peritoneal cavity to thoracic cavity. PD was stopped and the catheter for PD removed. Now, the patient is on the waiting list for kidney transplantation. ‘Sweet hydrothorax’ is a rare complication of PD and CT peritoneography is the most sensitive noninvasive diagnostic tool. In most patients, PD is replaced by hemodialysis, although surgical treatment is also possible.
Ključne riječi
end stage renal disease; computerized tomography peritoneography; peritoneal dialysis
Hrčak ID:
180177
URI
Datum izdavanja:
6.4.2017.
Posjeta: 1.795 *