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A case of hydrothorax caused by peritoneal dialysate leakage diagnosed using the reaction between icodextrin and povidone-iodine / 대한내과학회지
Korean Journal of Medicine ; : 775-779, 2009.
Artículo en Coreano | WPRIM | ID: wpr-137807
ABSTRACT
Hydrothorax occurs as a complication of peritoneal dialysis in about 2% of cases. When a pleural effusion occurs, the effusion should be analyzed as part of the differential diagnosis. A hydrothorax due to peritoneal dialysate leakage can be suspected based on higher glucose and lower protein content compared with serum. Computed tomography (CT) peritoneography, peritoneal scintigraphy, and magnetic resonance peritoneography are safe, accurate, and reliable methods for diagnosing hydrothorax. Here, we report a case of hydrothorax associated with dialysate leakage that could not be confirmed using standard CT peritoneography. We confirmed the leakage by observing the change in color to black in a test that involved adding povidone-iodine to the pleural fluid obtained by thoracentesis after a cycle of peritoneal dialysis with icodextrin solution. We propose using the icodextrin-povidone reaction as a test for hydrothorax caused by dialysate leakage.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Derrame Pleural / Povidona Yodada / Espectroscopía de Resonancia Magnética / Diálisis Peritoneal / Diagnóstico Diferencial / Glucanos / Glucosa / Hidrotórax Tipo de estudio: Estudio diagnóstico Idioma: Coreano Revista: Korean Journal of Medicine Año: 2009 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Derrame Pleural / Povidona Yodada / Espectroscopía de Resonancia Magnética / Diálisis Peritoneal / Diagnóstico Diferencial / Glucanos / Glucosa / Hidrotórax Tipo de estudio: Estudio diagnóstico Idioma: Coreano Revista: Korean Journal of Medicine Año: 2009 Tipo del documento: Artículo