Metabolic and mechanic complications can be seen due to peritoneal dialysis. Pleuroperitoneal leakage is rare but can be a life-threatening mechanic complication of peritoneal dialysis. Some techniques have been used to diagnose this entity. Radionuclide imaging can be used as a reliable technique in order to show the pleuroperitoneal passage and can be used to show the recovery. Herein we present the first case report in the literature about a patient with pleuroperitoneal shunt that was demonstrated scintigraphically during the leakage and after the resolution.