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Case Report Open Access
Pleuroperitoneal leak should be considered in the differential diagnosis of a pleural effusion, expecially in patients on peritoneal dialysis. The existence of a pleuro-peritoneal leak is demonstrated by pleural fluid analysis: a transudate with high glucose content similar to the dialysate, together with a normal concomitant blood glucose concentration. Treatments for dialysate leaks include a variety of approaches, depending on the severity of symptoms and signs. We report the case of a 77 year old woman treated with automated peritoneal dialysis since 10 years due to chronic renal failure in polycystic kidney, presenting to the hospital with progressively worsening dyspnea, due to a non-conventional pleural effusion.
Emergency room, Computed tomography, Dyspnea, Acute heart failure syndrome, Clinical Pediatric Emergency Medicine, Clinical Procedures in Emergency Medicine, Critical Decisions in Emergency Medicine, Emergency Care and Medicine, Emergency Care Nursing, Emergency Care Practice, Emergency Critical Care, Emergency Drugs, Emergency Internal Medicine