Turkish Journal of Nephrology
Review Article

Pleuroperitoneal Leakage – Is This the End of Peritoneal Dialysis?

1.

Department of Internal Medicine, Division of Endocrinology, Diabetology and Nephrology, University Hospital Tübingen, Germany

2.

Institute of Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Center Munich at the University Tübingen, Germany

3.

German Center for Diabetes Research (DZD) at the University Tübingen, Germany

4.

Klinikverbund Suedwest, Kliniken Sindelfingen, Innere Medizin Kardiologie/Nephrologie, Sindelfingen, Germany

Turkish J Nephrol 2024; 33: 27-32
DOI: 10.5152/turkjnephrol.2023.22488
Read: 690 Downloads: 219 Published: 27 October 2023

Pleuroperitoneal leakage is a rare complication of peritoneal dialysis, emerging as a large, usually right-sided hydrothorax. It is caused by congenital weak points or defects in the diaphragm. The diagnosis is made by the detection of a transfer of dialysate to the pleural cavity by either a dye or contrast-enhanced dialysate. Treatment using peritoneal dialysis pause or pleurodesis is often ineffective, so persistent pleuroperitoneal leakage necessitates termination of peritoneal dialysis in a substantial proportion of the patients. However, video-assisted thoracoscopic surgery with the option of suturing or inserting a mesh is a promising treatment option, which allows for continuation of peritoneal dialysis. Starting with a case vignette, this review provides an overview on pleuroperitoneal leakage and discusses the recent advancements in the treatment of patients with pleuroperitoneal leakage.

Cite this article as: Artunç F. Pleuroperitoneal leakage – Is this the end of peritoneal dialysis? Turk J Nephrol. 2024;33(1):27-32.

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