CT PERITONEOGRAPHY – DIAGNOSTIC METHOD OF DETECTING SWEET HYDROTHORAX IN PATIENTS ON PERITONEAL DIALYSIS
| العنوان: | CT PERITONEOGRAPHY – DIAGNOSTIC METHOD OF DETECTING SWEET HYDROTHORAX IN PATIENTS ON PERITONEAL DIALYSIS |
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| المؤلفون: | DEAN MARKIĆ, ANTUN GRŠKOVIĆ, DRAŽEN RAHELIĆ, MAURO MATERLJAN, MARIN TROŠELJ, MARTINA PAVLETIĆ PERŠIĆ, BOŽIDAR VUJIČIĆ, LIDIJA ORLIĆ, VANESA VUJIČIĆ, IVAN PAVLOVIĆ, SANJIN RAČKI |
| المصدر: | Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske Volume 70 Issue Suplement 2 |
| بيانات النشر: | Academy of Medical Sciences of Croatia, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | end stage renal disease, computerized tomography peritoneography, peritoneal dialysis, završni stadij kronične bubrežne bolesti, CT peritoneografija, peritonejska dijaliza |
| الوصف: | Peritoneal dialysis (PD) can be considered as the first method to start dialysis treatment because it improves the patient quality of life and survival compared to hemodialysis (in the first two years). Hydrothorax is a rare complication of PD. We present a 66-year-old female patient diagnosed with end-stage renal disease caused by chronic tubulointerstitial nephritis. One month after peritoneal catheter had been inserted, the patient started continuous ambulatory PD. Several weeks after PD had been introduced, the patient complained of cough and weight gain. Chest x-ray revealed pleural effusion on the right side and pleural puncture proved a high concentration of glucose in the aspirate, and the diagnosis of ‘sweet hydrothorax’ was made. Additionally, computerized tomography (CT) peritoneography clearly showed contrast leak from peritoneal cavity to thoracic cavity. PD was stopped and the catheter for PD removed. Now, the patient is on the waiting list for kidney transplantation. ‘Sweet hydrothorax’ is a rare complication of PD and CT peritoneography is the most sensitive noninvasive diagnostic tool. In most patients, PD is replaced by hemodialysis, although surgical treatment is also possible. Peritonejska dijaliza (PD) se može smatrati metodom dijalitičkog izbora, jer u odnosu na hemodijalizu poboljšava kvalitetu života i preživljenje bolesnika u prve dvije godine. Hidrotoraks je rijetka komplikacija PD. Prikazujemo 66-godišnju bolesnicu kojoj je dijagnosticiran završni stadij kronične bubrežne bolesti uzrokovan kroničnim tubulointersticijskim nefritisom. Jedan mjesec od postavljanja katetera za PD bolesnica je započela s dijalitičkim liječenjem. Nekoliko tjedana od početka dijalitičkog liječenja bolesnica se počela žaliti na kašalj i porast težine. RTG snimka prsnih organa pokazala je desnostrani pleuralni izljev. Njegovom punkcijom dokazana je visoka koncentracija glukoze u aspiratu te je postavljena dijagnoza “slatkog hidrotoraksa”. CT peritoneografija je nedvojbeno pokazala da kontrast iz abdominalne šupljine ide u pleuralnu. PD je zaustavljena, a kateter za PD izvađen. Sad se bolesnica nalazi na listi čekanja za transplantaciju bubrega. “Slatki hidrotoraks” je rijetka komplikacija bolesnika na PD, a CT peritoneografija je najosjetljiviji neinvazivni dijagnostički test. U većine bolesnika PD se zamijeni hemodijalizom, ali je moguće i kirurško liječenje. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1848-8897 1330-0164 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=od_______951::14e03d2df976e283da2b008af4e7f090 https://hrcak.srce.hr/180177 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.od.......951..14e03d2df976e283da2b008af4e7f090 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18488897 13300164 |
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