Pleural and pericardial effusion in a long-term PD patient - a defying diagnosis 
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We present the case of a 37-year-old woman on PD for 24 months exhibiting a left pleural and pericardial effusion following pneumonia. Pleural fluid was initially compatible with an exudate with a high glucose concentration and later with a transudate. In order to clarify the suspicion of an ongoing shunt an abdominal scintigraphy was performed confirming the diagnosis of a peritoneopleuropericardial communication. This case underlines the importance of considering this unusual diagnosis in a patient on long-term PD. Its timely diagnosis is important to stop PD and start hemodialysis.
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PMID: 29231161 [PubMed - as supplied by publisher]

Source: Clinical Nephrology - December 12, 2017 Category: Urology & Nephrology Authors: Godinho I, Dias JM, Rodrigues N, Silva H, Jorge S, Abreu CP, Lopes JA Tags: Clin Nephrol Source Type: research