However, the physiopathology of the ascites and the hydrothorax
still remain obscure (1).
2] Complications range from clinically insignificant bleeding and postoperative fever, to more serious complications, such as bleeding requiring blood transfusion, fluid extravasation, urinary fistula, sepsis, organ injuries including pleural injuries (pneumothorax, hydrothorax
, and hemothorax), injury to abdominal viscera (colon, duodenum, liver, and spleen) and rarely death.
The case study reported in the Stem Cell Discovery involved a 58 year old woman suffering from PBC who developed an incarcerated hernia and uncontrolled hydrothorax
after undergoing UDCA treatment.
(HH) is a complication of liver cirrhosis in patients with ascites.
Radiologic examination revealed a left-sided hydropneumothorax and right sided hydrothorax
Complications include local hematoma, pneumothorax, hemothorax, hydrothorax
, central venous thrombosis, air embolism, and cardiac tamponade due to perforation of the superior vena cava or right side of the heart.
Pulmonary edema and hydrothorax
in swine produced by fumonisin FB1, a toxic metabolite of Fusarium moniliforme.
5,6) Zannoni et al (8) reported the first case of pseudo-Meigs syndrome in malignant struma ovarii, which was associated with ascites, hydrothorax
, and elevated CA 125 (cancer antigen 125) levels.
Age Postmortem findings SAE12/07 5 y SAE89/08 1 y Postmortem not done HS101/08 8 y Marked generalized subcutaneous edema involving trunk and proximal forelimbs, edema (periaortic, coronary grooves, neck, and hind quarters), partial pulmonary collapse, foam-filled trachea, mild serosanguinous hydrothorax
, moderate hydropericardium, subpleural petechiae and ecchymoses, epicardial grooves and at bases of the mitral valves M123/084 4 mo Severe perirenal and intermuscular edema, severe diffuse interlobular lung edema and mild serous hydropericardium 8 mo Severe lung edema and congestion, moderate serous hydropericardium, intermuscular edema 6 y SAE134/09 19 y Case no.
A variety of complications are reported in patients on PD, some of which are related to increased intra-abdominal pressure that results in accumulation of dialysis fluid in the pleural cavity, resulting in hydrothorax
empyema complicating a malpositioned nasogastric tube.
In this review, we discuss some of the common noninfectious complications of peritoneal dialysis such as hernias, hydrothorax
, hemoperitoneum, pancreatitis, ischemic colitis and necrotizing enterocolitis, pneumoperitoneum, GERD, subcapsular steatosis and hypokalemia.