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

• Published in: General thoracic and cardiovascular surgery Vol. 59; no. 7; pp. 499 - 502
• Main Authors: Hashimoto, Makoto, Watanabe, Atsushi, Hashiguchi, Hitoki, Nakashima, Shinji, Higami, Tetsuya
• Format: Journal Article
• Language: English
• Published: Japan Springer Japan 01.07.2011; Springer Nature B.V
• Subjects: Cardiac Surgery; Cardiology; Case Report; Female; Humans; Hydrothorax - diagnosis; Hydrothorax - etiology; Hydrothorax - surgery; Kidney Failure, Chronic - therapy; Medicine; Medicine & Public Health; Middle Aged; Peritoneal Dialysis, Continuous Ambulatory - adverse effects; Peritoneal Diseases - diagnosis; Peritoneal Diseases - etiology; Peritoneal Diseases - surgery; Pleural Diseases - diagnosis; Pleural Diseases - etiology; Pleural Diseases - surgery; Renal Dialysis; Surgical Oncology; Thoracic Surgery; Thoracoscopy; Tomography, X-Ray Computed; Treatment Outcome; Hydrothorax; Pleuroperitoneal communication; Continuous ambulatory peritoneal dialysis; Video-assisted thoracoscopic surgery
• ISSN: 1863-6705; 1863-6713
• DOI: 10.1007/s11748-010-0703-y

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.