HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Case of peritoneal dialysis-related acute hydrothorax, which was successfully treated by thoracoscopic surgery, using collagen fleece.

Abstract
Peritoneal dialysis (PD) is an established renal replacement therapy for patients with end-stage renal disease (ESRD), and it is an effective mean of treatment for maintaining patients' residual renal function and their quality of life (QOL). However, acute hydrothorax is one of the complications of PD that can lead to discontinuation of PD and a switch to hemodialysis. We report a case of a 51-year-old woman with ESRD secondary to chronic glomerulonephritis who was placed on intermittent PD (IPD) and developed right-sided acute hydrothorax one month later. Scintigraphy with technetium-99 m macroaggregated human albumin (Tc-99 m MAA) revealed presence of a pleuroperitoneal communication, and treatment by autologous blood pleurodesis was performed twice. However, the treatment was ineffective, and two months after the onset of the hydrothorax, we performed video-assisted thoracoscopic surgery (VATS), using collagen fleece coated with fibrin glue to seal off the communication. The surgical procedure was followed by complete resolution of the hydrothorax. It was possible to resume the PD about one month postoperatively, and there has been no evidence ofrecurrence of the hydrothorax. VATS with collagen fleece was effective in treating acute hydrothorax secondary to a pleuroperitoneal communication that developed as a complication of PD.
AuthorsMakoto Nishina, Masayuki Iwazaki, Masahiro Koizumi, Ryota Masuda, Takatoshi Kakuta, Masayuki Endoh, Masafumi Fukagawa, Atsushi Takagi
JournalThe Tokai journal of experimental and clinical medicine (Tokai J Exp Clin Med) Vol. 36 Issue 4 Pg. 91-4 (Dec 20 2011) ISSN: 2185-2243 [Electronic] Japan
PMID22167488 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Fibrin Tissue Adhesive
  • Collagen
Topics
  • Acute Disease
  • Collagen (therapeutic use)
  • Female
  • Fibrin Tissue Adhesive
  • Humans
  • Hydrothorax (etiology, surgery)
  • Kidney Failure, Chronic (therapy)
  • Middle Aged
  • Peritoneal Dialysis (adverse effects)
  • Thoracic Surgery, Video-Assisted (methods)
  • Treatment Outcome

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: