A case of hydrothorax during CAPD due to diaphragmatic communication

Abstract

A 37-year-old male with end-stage renal failure was started on CAPD on March 24, 1993. On April 8, net ultrafiltration was suddenly decreased and he complained of dyspnea. A chest X-ray revealed right pleural effusion. Pleuroperitoneal communication was diagnosed by ^99mTc-MAA peritoneography. Pleurodesis with autologous blood by thoracentesis was ineffective, even though combined with a 2-week interruption of CAPD. CAPD was discontinued and he was switched to chronic hemodialysis.