Rojas-Rojas MM, Camilo P, Gonzalo U, Bernal P. SPECT/CT in Pleuroperitoneal Fistula Associated With Peritoneal Dialysis.
Clin Nucl Med 2023;
48:e219-e220. [PMID:
36947829 DOI:
10.1097/rlu.0000000000004613]
[Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/24/2023]
Abstract
ABSTRACT
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.
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