Aysun ŞENGÜL, Kevser MELEK, Erkan ŞENGÜL

Akut Nefes Darlığının Nadir bir Nedeni Olarak Periton Diyalizi ile İlişkili Hidrotoraks

Sürekli ayaktan periton diyalizi (SAPD) hastalarında plöroperitoneal geçişlere bağlı plevral effüzyon gelişimi sık rastlanan bir komplikasyon değildir. Genellikle diafragmatik defektlere bağlı olarak gelişmekte ve sıklıkla sağ tarafta ortaya çıkmaktadır. Bu durumun, transüda özelliği olan plevral effüzyonların ayırıcı tanısında yer alması gerekir. Burada SAPD tedavisi olan 42 yaşında bir kadın hastada ani gelişen nefes darlığı ve ultrafiltrasyon kaybı ile ortaya çıkan plöroperitoneal geçiş ile ilişkili plevral effüzyon sunulmuştur.

Anahtar Kelimeler:

glukoz, periton diyalizi, plevral effüzyon, transüda

Hydrothorax Associated With Peritoneal Dialysis As An Unusual Cause Of Shortness Of Breath

Pleural effusion due to pleuroperitoneal communication is not a common complication in patients on continuous ambulatory peritoneal dialysis (CAPD). It usually occurs as a result of diaphragmatic defect and develops on the right hemithorax. Pleuroperitoneal leak should be considered in the differantial diagnosis of a transudative pleural effusion. We present the case of a 42-year-old woman treated with CAPD who had acute shortness of breath and ultrafiltration loss as a result of pleural effusion due to pleuroperitoneal leak.

Keywords:

glucose, peritoneal dialysis, pleural effusion, transuda,

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