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神崎 正人
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Professor and Division head |
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| Article types | Case report |
| Language | English |
| Peer review | Peer reviewed |
| Title | Video-assisted thoracic surgery for pleuroperitoneal communication. |
| Journal | Formal name：Surgical case reports Abbreviation：Surg Case Rep ISSN code：21987793/21987793 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 5(1),pp.34 |
| Author and coauthor | Mitsuboshi Shota, Maeda Hideyuki, Kanzaki Masato |
| Authorship | Last author,Corresponding author |
| Publication date | 2019/02 |
| Summary | BACKGROUND:Hydrothorax due to pleuroperitoneal communication (PPC) is a rare complication of continuous ambulatory peritoneal dialysis (CAPD). Approximately 50% of the patients need to convert to hemodialysis.CASE PRESENTATION:A 65-year-old man with chronic renal failure due to membranoproliferative glomerulonephritis underwent CAPD. Seven months after starting CAPD, a chest X-ray showed a right hydrothorax. For performing radioscintigraphy, 99mTc-macro-aggregated albumin was administered into the peritoneal cavity with dialysate, and a leakage point of the dialysate into the right pleural cavity was detected. He was diagnosed with PPC and underwent video-assisted thoracic surgery (VATS). The hole was closed by direct suturing and reinforced by a pedicled latissimus dorsi muscle flap (LDM). The patient resumed CAPD 7 weeks later and had no recurrence of the right hydrothorax.CONCLUSIONS:VATS was a useful method for treating PPC. A pedicled LDM flap is an effective material for preventing the recurrence of PPC. |
| DOI | 10.1186/s40792-019-0595-8 |
| PMID | 30783792 |