Talk Description
505 - Research Paper
Abstract
Case Description:
Reporting a case of a 77-year-old male patient on APD, presenting with SOB, low ultrafiltration on APD & pleural effusion. Initial investigations including imaging studies revealed bilateral pleural effusions without apparent aetiology. Further evaluation with diagnostic paracentesis confirmed the presence of pleuroperitoneal leak. The patient underwent therapeutic thoracentesis to relieve symptoms and had to go on haemodialysis temporarily for a month. Follow-up imaging confirmed the successful closure of the pleuroperitoneal communication, and the patient successfully resumed APD.
Discussion:
Pleuroperitoneal leak is a rare but important consideration in the differential diagnosis of unexplained SOB, low UF & pleural effusion. Prompt recognition and appropriate management, often involving surgical intervention, are crucial in achieving favourable outcomes. This case highlights the clinical presentation, diagnostic approach, and therapeutic management of pleuroperitoneal leak, emphasizing the importance of a multidisciplinary approach.
Conclusion:
Pleuroperitoneal leak is a rare entity that requires a high index of suspicion for diagnosis. Timely recognition and intervention are essential for effective management and favourable patient outcomes.
Abstract
Case Description:
Reporting a case of a 77-year-old male patient on APD, presenting with SOB, low ultrafiltration on APD & pleural effusion. Initial investigations including imaging studies revealed bilateral pleural effusions without apparent aetiology. Further evaluation with diagnostic paracentesis confirmed the presence of pleuroperitoneal leak. The patient underwent therapeutic thoracentesis to relieve symptoms and had to go on haemodialysis temporarily for a month. Follow-up imaging confirmed the successful closure of the pleuroperitoneal communication, and the patient successfully resumed APD.
Discussion:
Pleuroperitoneal leak is a rare but important consideration in the differential diagnosis of unexplained SOB, low UF & pleural effusion. Prompt recognition and appropriate management, often involving surgical intervention, are crucial in achieving favourable outcomes. This case highlights the clinical presentation, diagnostic approach, and therapeutic management of pleuroperitoneal leak, emphasizing the importance of a multidisciplinary approach.
Conclusion:
Pleuroperitoneal leak is a rare entity that requires a high index of suspicion for diagnosis. Timely recognition and intervention are essential for effective management and favourable patient outcomes.