Hernández Martínez A C, Marín Ferrer M D, Coronado Poggio M, Escabias Del Pozo C, Coya Viña J, Martín Curto L
Servicio de Medicina Nuclear, Hospital Universitario La Paz, Madrid, España.
Rev Esp Med Nucl. 2010 Mar-Apr;29(2):84-6. doi: 10.1016/j.remn.2009.12.004. Epub 2010 Feb 1.
Peritoneal dialysis is a fully-contrasted alternative for the treatment of end-stage renal disease although it is not exempt of complications. Peritonitis and exit-site infections are among the most frequent complications found. Pleural effusion secondary to pleuroperitoneal communication (PPC) is a serious and uncommon complication in these patients. We present the case of a 50-year old man diagnosed of end-stage renal disease undergoing treatment with peritoneal dialysis who presented progressive dyspnea and right pleural effusion. The peritoneal scintigraphy with (99m)Tc-MAA makes it possible to confirm communication of intraperitoneal dialysis fluid to the pleural cavity.
腹膜透析是治疗终末期肾病的一种完全不同的替代方法，尽管它并非没有并发症。腹膜炎和出口处感染是最常见的并发症。因胸膜腹膜交通（PPC）继发的胸腔积液是这些患者中一种严重且罕见的并发症。我们报告一例50岁男性终末期肾病患者，正在接受腹膜透析治疗，出现进行性呼吸困难和右侧胸腔积液。用（99m）Tc-MAA进行的腹膜闪烁扫描能够证实腹膜透析液与胸腔相通。
