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.
Article
em Ko
| WPRIM
| ID: wpr-137806
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Derrame Pleural
/
Povidona-Iodo
/
Espectroscopia de Ressonância Magnética
/
Diálise Peritoneal
/
Diagnóstico Diferencial
/
Glucanos
/
Glucose
/
Hidrotórax
Tipo de estudo:
Diagnostic_studies
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2009
Tipo de documento:
Article
País de publicação:
COREA DEL SUR
/
COREIA DO SUL
/
KR
/
SOUTH KOREA