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Case Reports in Radiology
Volume 2014 (2014), Article ID 614846, 4 pages
http://dx.doi.org/10.1155/2014/614846
Case Report

Pleuroperitoneal Leak: An Unusual Cause of Acute Shortness of Breath in a Peritoneal Dialysis Patient

Division of Radiation Medicine, Nelson R Mandela School of Medicine, University of Kwazulu-Natal, Private Bag Box 7, Congella, Durban, South Africa

Received 26 May 2014; Revised 14 July 2014; Accepted 18 July 2014; Published 4 August 2014

Academic Editor: Atsushi Komemushi

Copyright © 2014 D. P. Ramaema and P. Mpikashe. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Pleuroperitoneal leak is an uncommon complication of continuous ambulatory peritoneal dialysis (CAPD), with an estimated incidence of 1.6%. It should be suspected in these patients when they present with recurrent unilateral pleural effusions and/or acute shortness of breath following dialysate infusion. Case Presentation. We present the case of a 25-year-old female patient who had acute hydrothorax as a result of pleuroperitoneal leak complicating continuous ambulatory peritoneal dialysis (CAPD), which was confirmed on peritoneal scintigraphy. Conclusion. Continuous ambulatory peritoneal dialysis patients presenting with acute shortness of breath and/or recurrent unilateral pleural effusion should be investigated with peritoneal scintigraphy to exclude pleuroperitoneal leak.