ABSTRACT
Os autores apresentam um caso incomum de paciente com pancreatite aguda e insuficiência renal aguda que necessitou de diálise peritoneal e desenvolveu quadro de desconforto respiratório decorrente de um hidrotórax agudo como complicaçäo de processo dialítico. O diagnóstico foi feito pelo elevado nível de glicose no líquido pleural (455mg/dL) e concomitante glicemia de 81mg/dL. Esta intercorrência parece decorrer de um defeito diafragmático que comunica as cavidades peritoneal e pleural. O tratamento consiste na pronta interrupçäo da diálise peritoneal, com melhora da sintomatologia
Subject(s)
Humans , Male , Adult , Peritoneal Dialysis/adverse effects , Hydrothorax/etiology , Acute Disease , Acute Kidney Injury/complications , Pancreatitis/complications , Pancreatic Pseudocyst/complicationsABSTRACT
Report a case of a patient suffering from acute pancreatitis with renal failure, who needed peritoneal dialysis and developed acute hydrothorax as a complication of the procedure. The diagnosis was made by the high levels of glucose on pleural effusion (455 mg/dL) and glycemia of 81 mg/dL). This complication probably occurs because of a pathological diaphragmatic defect, communicating peritoneal and pleural cavities. The treatment consists of prompt interruption of peritoneal dialysis with improvement of symptomatology.
