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  • Title: [Pleuroperitoneal communication in patients on peritoneal dialysis. One hospital's experience and a review of the literature].
    Author: Díaz Mancebo R, Del Peso Gilsanz G, Rodríguez M, Fernández B, Ossorio González M, Bajo Rubio MA, Selgas Gutiérrez R.
    Journal: Nefrologia; 2011; 31(2):213-7. PubMed ID: 21461016.
    Abstract:
    Peritoneal dialysis is a treatment alternative in patients with advanced chronic kidney disease. The infusion of liquid into the peritoneal cavity leads to an increase in intra-abdominal pressure, which can sometimes produce leaks to the chest, giving rise to pleuroperitoneal communication. This is not a common complication, but it brings about high drop-out rates among patients using the technique. Diagnosis is easy and must be suspected in patients with sudden dyspnoea with low ultrafiltration and pleural effusion in the chest x-ray. Peritoneal rest and a temporary transfer to haemodialysis, and pleurodesis can be effective treatment strategies.
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