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CT PERITONEOGRAPHY – DIAGNOSTIC METHOD OF DETECTING SWEET HYDROTHORAX IN PATIENTS ON PERITONEAL DIALYSIS
DEAN MARKIĆ
orcid.org/0000-0001-5696-0850
; Rijeka University Hospital Center, Clinical Department of Urology, Rijeka, Croatia
ANTUN GRŠKOVIĆ
; Rijeka University Hospital Center, Clinical Department of Urology, Rijeka, Croatia
DRAŽEN RAHELIĆ
; Rijeka University Hospital Center, Clinical Department of Urology, Rijeka, Croatia
MAURO MATERLJAN
; Rijeka University Hospital Center, Clinical Department of Urology, Rijeka, Croatia
MARIN TROŠELJ
; Rijeka University Hospital Center, Clinical Department of Urology, Rijeka, Croatia
MARTINA PAVLETIĆ PERŠIĆ
; Rijeka University Hospital Center, Department of Nephrology and Dialysis, 2University of Rijeka, School of Medicine, Rijeka, Croatia
BOŽIDAR VUJIČIĆ
; Department of Nephrology and Dialysis, 2University of Rijeka, School of Medicine, Rijeka, Croatia
LIDIJA ORLIĆ
; Rijeka University Hospital Center, Department of Nephrology and Dialysis, 2University of Rijeka, School of Medicine, Rijeka, Croatia
VANESA VUJIČIĆ
; University of Rijeka, School of Medicine, Rijeka, Croatia
IVAN PAVLOVIĆ
; Rijeka University Hospital Center, Department of Radiology, Rijeka, Croatia
SANJIN RAČKI
orcid.org/0000-0002-3736-0929
; Rijeka University Hospital Center, Department of Nephrology and Dialysis, 2University of Rijeka, School of Medicine, Rijeka, Croatia
Abstract
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.
Keywords
end stage renal disease; computerized tomography peritoneography; peritoneal dialysis
Hrčak ID:
180177
URI
Publication date:
6.4.2017.
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