Peritoneopericardial Communication after Pericardiocentesis in a Patient on Continuous Ambulatory Peritoneal Dialysis with Dialysis Pericarditis
作者:
Chia-Hsiu Hou,
Tun-Jun Tsai,
Kwan-Lih Hsu,
期刊:
Nephron
(Karger Available online 1994)
卷期:
Volume 68,
issue 1
页码: 125-127
ISSN:1660-8151
年代: 1994
DOI:10.1159/000188230
出版商: S. Karger AG
关键词: Continuous ambulatory peritoneal dialysis;Pericardial effusion;Pericardiocentesis;Peritoneopericardial communication
数据来源: Karger
摘要:
A male patient aged 41 years had dialysis pericarditis with massive pericardial effusion in his 6-year on continuous ambulatory peritoneal dialysis (CAPD). Intensive hemodialysis failed to resolve the pericardial effusion. Pericardiocentesis via a subxiphoid approach was performed with placement of a pigtail catheter for drainage. A communication between peritoneal and pericardial cavities occurred, resulting in the leakage of the peritoneal dialysate into pericardial sac which was confirmed by a 99mTc radionuclide scan. The fistula healed after removal of the catheter and discontinuation of CAPD. We suggest that pericardiocentesis via a subxiphoid approach for pericardial effusion should be cautiously exercised in CAPD cases for fear of peritoneopericardial fistula.
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