Abstract
A 47-year-old woman with chronic renal failure caused by IgA nephropathy had a peritoneal dialysis catheter placed in February 2014. Peritoneal dialysis was prescribed in March. On the 19th day, she began to have frequent episodes of inflow and outflow problems. Peritoneal dialysis was therefore stopped on the 126th day. On the 143rd day, diagnostic laparoscopic surgery was performed to determine the cause of the problem. The side holes of the peritoneal dialysis catheter had been blocked by the right fimbria of the fallopian tube. We removed this aberrant tissue. After the operation, peritoneal dialysis was restarted without difficulty. On the 221st day, right-sided pleural effusion developed. We applied thoracentesis on the 227th day, which caused the pleural effusion to decrease. The concentration of glucose was markedly higher in the intrapleural fluid than in serum, suggesting pleuroperitoneal communication. Thus, peritoneal dialysis was stopped again on the 234th day and restarted two weeks later with a small amount of peritoneal dialysis fluid only in the daytime. Her pleural effusion did not reappear, and the patient has continued to undergo peritoneal dialysis without problems.
