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Continuous cyclical peritoneal dialysis (CCPD) is a well-established, effective method of maintenance dialysis in patients with end-stage renal disease (ESRD). Massive hydrothorax producing hemodynamic compromise (tension hydrothorax) has been documented as an infrequent complication of both acute temporary peritoneal dialysis and continuous ambulatory peritoneal dialysis (CAPD). We recently saw a patient with massive hydrothorax as a consequence of CCPD. The etiology of this rare condition is thought to be that of a diaphragmatic defect with a one-way valve mechanism. Diagnosis is made by aspiration of the pleural fluid and estimation of pleural fluid glucose. Management of these patients requires pleural drainage and changing to hemodialysis if possible.
J Varon, and
J M Gonzalez, and
G L Sternbach, and
E E Bellairs
January 2011,
Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia,
J Varon, and
J M Gonzalez, and
G L Sternbach, and
E E Bellairs
January 2010,
Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia,
J Varon, and
J M Gonzalez, and
G L Sternbach, and
E E Bellairs
February 1995,
ANNA journal,
J Varon, and
J M Gonzalez, and
G L Sternbach, and
E E Bellairs
January 1985,
Duodecim; laaketieteellinen aikakauskirja,
J Varon, and
J M Gonzalez, and
G L Sternbach, and
E E Bellairs
June 1980,
Southern medical journal,
J Varon, and
J M Gonzalez, and
G L Sternbach, and
E E Bellairs
November 1981,
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde,
J Varon, and
J M Gonzalez, and
G L Sternbach, and
E E Bellairs
March 1967,
JAMA,
J Varon, and
J M Gonzalez, and
G L Sternbach, and
E E Bellairs
January 1971,
Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis,
J Varon, and
J M Gonzalez, and
G L Sternbach, and
E E Bellairs
February 1994,
AJR. American journal of roentgenology,
J Varon, and
J M Gonzalez, and
G L Sternbach, and
E E Bellairs
June 1993,
Clinical nuclear medicine,
