Video-assisted thoracic surgery for pleuroperitoneal communication
Abstract Background Hydrothorax due to pleuroperitoneal communication (PPC) is a rare complication of continuous ambulatory peritoneal dialysis (CAPD). Approximately 50% of the patients need to convert to hemodialysis. Case presentation A 65-year-old man with chronic renal failure due to membranopro...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2019-02-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40792-019-0595-8 |
| _version_ | 1819119578351927296 |
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| author | Shota Mitsuboshi Hideyuki Maeda Masato Kanzaki |
| author_facet | Shota Mitsuboshi Hideyuki Maeda Masato Kanzaki |
| author_sort | Shota Mitsuboshi |
| collection | DOAJ |
| description | Abstract Background Hydrothorax due to pleuroperitoneal communication (PPC) is a rare complication of continuous ambulatory peritoneal dialysis (CAPD). Approximately 50% of the patients need to convert to hemodialysis. Case presentation A 65-year-old man with chronic renal failure due to membranoproliferative glomerulonephritis underwent CAPD. Seven months after starting CAPD, a chest X-ray showed a right hydrothorax. For performing radioscintigraphy, 99mTc-macro-aggregated albumin was administered into the peritoneal cavity with dialysate, and a leakage point of the dialysate into the right pleural cavity was detected. He was diagnosed with PPC and underwent video-assisted thoracic surgery (VATS). The hole was closed by direct suturing and reinforced by a pedicled latissimus dorsi muscle flap (LDM). The patient resumed CAPD 7 weeks later and had no recurrence of the right hydrothorax. Conclusions VATS was a useful method for treating PPC. A pedicled LDM flap is an effective material for preventing the recurrence of PPC. |
| first_indexed | 2024-12-22T06:07:00Z |
| format | Article |
| id | doaj.art-e252975203c94fdb82aed6bc966797e1 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-22T06:07:00Z |
| publishDate | 2019-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-e252975203c94fdb82aed6bc966797e12022-12-21T18:36:23ZengSpringerOpenSurgical Case Reports2198-77932019-02-01511310.1186/s40792-019-0595-8Video-assisted thoracic surgery for pleuroperitoneal communicationShota Mitsuboshi0Hideyuki Maeda1Masato Kanzaki2Department of Thoracic Surgery, Tokyo Women’s Medical UniversityDepartment of Thoracic Surgery, Tokyo Women’s Medical UniversityDepartment of Thoracic Surgery, Tokyo Women’s Medical UniversityAbstract Background Hydrothorax due to pleuroperitoneal communication (PPC) is a rare complication of continuous ambulatory peritoneal dialysis (CAPD). Approximately 50% of the patients need to convert to hemodialysis. Case presentation A 65-year-old man with chronic renal failure due to membranoproliferative glomerulonephritis underwent CAPD. Seven months after starting CAPD, a chest X-ray showed a right hydrothorax. For performing radioscintigraphy, 99mTc-macro-aggregated albumin was administered into the peritoneal cavity with dialysate, and a leakage point of the dialysate into the right pleural cavity was detected. He was diagnosed with PPC and underwent video-assisted thoracic surgery (VATS). The hole was closed by direct suturing and reinforced by a pedicled latissimus dorsi muscle flap (LDM). The patient resumed CAPD 7 weeks later and had no recurrence of the right hydrothorax. Conclusions VATS was a useful method for treating PPC. A pedicled LDM flap is an effective material for preventing the recurrence of PPC.http://link.springer.com/article/10.1186/s40792-019-0595-8Pleuroperitoneal communicationContinuous ambulatory dialysisVideo-assisted thoracic surgery |
| spellingShingle | Shota Mitsuboshi Hideyuki Maeda Masato Kanzaki Video-assisted thoracic surgery for pleuroperitoneal communication Surgical Case Reports Pleuroperitoneal communication Continuous ambulatory dialysis Video-assisted thoracic surgery |
| title | Video-assisted thoracic surgery for pleuroperitoneal communication |
| title_full | Video-assisted thoracic surgery for pleuroperitoneal communication |
| title_fullStr | Video-assisted thoracic surgery for pleuroperitoneal communication |
| title_full_unstemmed | Video-assisted thoracic surgery for pleuroperitoneal communication |
| title_short | Video-assisted thoracic surgery for pleuroperitoneal communication |
| title_sort | video assisted thoracic surgery for pleuroperitoneal communication |
| topic | Pleuroperitoneal communication Continuous ambulatory dialysis Video-assisted thoracic surgery |
| url | http://link.springer.com/article/10.1186/s40792-019-0595-8 |
| work_keys_str_mv | AT shotamitsuboshi videoassistedthoracicsurgeryforpleuroperitonealcommunication AT hideyukimaeda videoassistedthoracicsurgeryforpleuroperitonealcommunication AT masatokanzaki videoassistedthoracicsurgeryforpleuroperitonealcommunication |