Related Experiment Video
Updated: May 29, 2026
06:23
Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
Pleuroperitoneal leak complicating peritoneal dialysis: a case series
C Kennedy1, C McCarthy, S Alken
1Department of Nephrology, Beaumont Hospital, Dublin 9, Ireland.
International Journal of Nephrology
|August 31, 2011
Summary
Pleuroperitoneal leaks, a rare complication of peritoneal dialysis, occur when increased abdominal pressure causes dialysate to enter the chest. Management varies, from dialysis adjustments to surgery.
Area of Science:
- Nephrology
- Thoracic Surgery
- Gastroenterology
Background:
- Peritoneal dialysis (PD) is a common treatment for kidney failure.
- PD-related complications include hernias and, rarely, pleuroperitoneal leaks.
- Increased intra-abdominal pressure can lead to dialysate migration through diaphragmatic defects.
Observation:
- Three cases of pleuroperitoneal leak were observed within nine months.
- Patients presented with varying symptoms and timing.
- The condition involves dialysate transudation into the pleural space, often right-sided.
Findings:
- Pleural effusions contained dialysate, indicating a leak.
- Management strategies included peritoneal drainage, switching to hemodialysis, thoracocentesis, and surgical repair.
- Outcomes varied based on the chosen intervention and effusion complexity.
Implications:
- Pleuroperitoneal leak requires distinct management compared to other pleural effusions in PD patients.
- Early diagnosis is crucial for appropriate treatment.
- Surgical intervention may be necessary for PD resumption or complex cases.
- This condition should be considered in PD patients with unexplained pleural effusions.
Related Concept Videos
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
01:30Peritoneal Dialysis I: Introduction and Procedure
Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
01:25Peritoneal Dialysis III: Nursing Management
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
01:24Hemodialysis II: Procedure and Complications
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
01:30Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis
Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
01:25Pleural Effusion I: Introduction
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's criteria,...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's criteria,...