Resolution of pleura-peritoneal fistula via transient daytime ambulatory peritoneal dialysis regime [DAPD] - 8 years follow up

Pleural effusion or hydrothorax is a relatively rare but well-recognized complication associated with peritoneal dialysis [PD]. We describe the successful long term resolution of a patient who developed pleural effusions after starting continuous ambulatory peritoneal dialysis [CAPD], by altering the PD prescription to normal volume daytime ambulatory peritoneal dialysis [DAPD] transiently before resuming the usual CAPD exchanges four months later. After 8 years of follow up, there is no sign of recurrence of the effusion. Normal volume DAPD present as an attractive alternative and cheap method for resolution of pleura-peritoneal fistula