지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 86 - 90 (5page)
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초록· 키워드
오류제보하기
Non-infectious complications of peritoneal dialysis (PD) are relatively less common than infectious complications but are a potentially serious problem in patients on chronic PD. Here, we present a case of a non-infectious complication of PD in a 13- year- old boy on chronic PD who presented with symptoms such as hypertension, edema, dyspnea, and decreased ultrafiltration. Chest and abdominal radiography showed pleural effusion and migration of the PD catheter tip. Laparoscopic PD catheter reposition was performed because PD catheter malfunction was suspected. However, pleural effusion relapsed whenever the dialysate volume increased. To identify peritoneal leakage, computed tomography (CT) peritoneography was performed, and a defect of the peritoneum in the left lower abdomen with contrast leakage to the left rectus and abdominis muscles was observed. He was treated conservatively by transiently decreasing the volume of night intermittent PD and gradually increasing the volume. At the 2-year follow-up visit, the patient had not experienced similar symptoms. Patients on PD who present with refractory or recurrent pleural effusion that does not respond to therapy should be assessed for the presence of infection, catheter malfunction, and pleuroperitoneal communication. Thoracentesis and CT peritoneography are useful for evaluating pleural effusion, and timely examination is important for identifying the defect or fistula.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
김지은 / 2015 / Noninfectious Complications of Peritoneal Dialysis in Korean Children: A 26-Year Single-Center Study / Yonsei Medical Journal 56(5):1359~1364
Saha TC / 2007 / Noninfectious complications of peritoneal dialysis / South Med J 100:54~58
Cochran ST / 1997 / Complications of peritoneal dialysis: evaluation with CT peritoneography / Radiographics 17:869~878
Kawaguchi AL / 1996 / Management of peritoneal dialysis-induced hydrothorax in children / Am Surg 62:820~824
Dufek S / 2015 / Pleuro-peritoneal or pericardio-peritoneal leak in children on chronic peritoneal dialysis-A survey from the European Paediatric Dialysis Working Group / Pediatr Nephrol 30:2021~2027
Saha TC / 2007 / Noninfectious complications of peritoneal dialysis / South Med J 100:54~58
Cochran ST / 1997 / Complications of peritoneal dialysis: evaluation with CT peritoneography / Radiographics 17:869~878
Kawaguchi AL / 1996 / Management of peritoneal dialysis-induced hydrothorax in children / Am Surg 62:820~824
Dufek S / 2015 / Pleuro-peritoneal or pericardio-peritoneal leak in children on chronic peritoneal dialysis-A survey from the European Paediatric Dialysis Working Group / Pediatr Nephrol 30:2021~2027
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