Rojas-Rojas María M, Camilo Perdomo, Gonzalo Ucrós, Bernal Patricia
From the Department of Radiology, Centro Hospitalario Serena del Mar, Cartagena.
School of Medicine, Universidad de los Andes.
Clin Nucl Med. 2023 May 1;48(5):e219-e220. doi: 10.1097/RLU.0000000000004613. Epub 2023 Mar 8.
Pleuroperitoneal fistula is a rare entity found in approximately 1.6% of patients with peritoneal dialysis. The pathophysiology is unknown, and it is usually associated with increased abdominal pressure. Upon pleural fluid analysis, a transudate with elevated glucose concentration is found, and the patients present with acute dyspnea, cough, and decrease in the ultrafiltration rate. We present the case of an 81-year-old woman with history of peritoneal dialysis presenting with recurrent pleural effusion. A peritoneal scintigraphy with 99m Tc was performed confirming the diagnosis of pleuroperitoneal fistula.
