Abstract
We report on a 2-year-old boy on automated peritoneal dialysis (PD) with a history of multiple hernias and dialysate leaks who developed pericardial effusion. Magnetic resonance imaging (MRI) demonstrated a peritoneo-pericardial fistula. Dialysis had to be discontinued, since head-down tilt reproducibly induced significant hypotension. In PD patients with pericardial effusion a peritoneo-pericardial leak should be considered.
References
Rinaldi S, Sera F, Verrina E, Edefonti A, Perfumo F, Sorino P, Zacchello G, Andreetta B, Ardissino G, Bassi S, Capasso G, Caringella DA, Gianoglio B, Gusmano R, Rizzoni G (1998) The Italian Registry of Pediatric Chronic Peritoneal Dialysis: a ten-year experience with chronic peritoneal dialysis catheters. Perit Dial Int 18:71–75
Leblanc M, Quimet D, Pichette V (2001) Dialysate leaks in peritoneal dialysis. Semin Dial 14:50–54
Fischbach M, Terzic J, Becmeur F, Lahlou A, Desprez P, Battouche D, Geisert J (1996) Relationship between intraperitoneal hydrostatic pressure and dialysate volume in children on PD. Adv Perit Dial 12:330–334
Warady A, Schaefer F, Fine R, Alexander S (2004) Pediatric dialysis. Kluwer, London, pp 417
Fischbach M, Terzic J, Dangelser C, Schneider P, Roger ML, Geisert J (1998) Effect of posture on intraperitoneal pressure and peritoneal permeability in children. Pediatr Nephrol 12:311–314
Stone MM, Fonkalsrud EW, Salusky IB, Takiff H, Hall T, Fine RN (1986) Surgical management of peritoneal dialysis catheters in children: five-year experience with 1,800 patient-month follow-up. J Pediatr Surg 21:1177–1181
Nomoto Y, Suga T, Nakajima K, Sakai H, Osawa G, Ota K, Kawaguchi Y, Sakai T, Sakai S, Shibata M, Takahashi S (1989) Acute hydrothorax in continuous ambulatory peritoneal dialysis—a collaborative study of 161 centers. Am J Nephrol 9:363–367
Krishnan RG, Ognjanovic MV, Crosier J, Coulthard MG (2007) Acute hydrothorax complicating peritoneal dialysis. Perit Dial Int 27:296–299
Nather S, Anger H, Koall W, Reis A, Mukhtar B, Grimm C, Drescher J, Osten B (1996) Peritoneal leak and chronic pericardial effusion in a CAPD patient. Nephrol Dial Transplant 11:1155–1158
Hou CH, Tsai TJ, Hsu KL (1994) Peritoneopericardial communication after pericardiocentesis in a patient on continuous ambulatory peritoneal dialysis with dialysis pericarditis. Nephron 68:125–127
Fischbach M, Terzic J, Laugel V, Escande B, Dangelser C, Helmstetter A (2003) Measurement of hydrostatic intraperitoneal pressure: a useful tool for the improvement of dialysis dose prescription. Pediatr Nephrol 18:976–980
Fischbach M, Terzic J, Menouer S, Bergere V, Ferjani L, Haraldsson B (2000) Impact of fill volume changes on peritoneal dialysis tolerance and effectiveness in children. Adv Perit Dial 16:321–323
Durand PY, Chanliau J, Gamberoni J, Hestin D, Kessler M (1994) APD: clinical measurement of the maximal acceptable intraperitoneal volume. Adv Perit Dial 10:63–67
Fischbach M, Michallat AC, Zollner G, Dheu C, Barthelmebs M, Helwig JJ, Loichot C, Escande B, Schmitt KP, Schaefer F, Haraldsson B, Jacques C (2005) Measurement by magnetic resonance imaging of the peritoneal membrane in contact with dialysate in rats. Adv Perit Dial 21:17–20
Prischl FC, Muhr T, Seiringer EM, Funk S, Kronabethleitner G, Wallner M, Artmann W, Kramar R (2002) Magnetic resonance imaging of the peritoneal cavity among peritoneal dialysis patients, using the dialysate as “contrast medium”. J Am Soc Nephrol 13:197–203
Yavuz K, Erden A, Ates K, Erden I (2005) MR peritoneography in complications of continuous ambulatory peritoneal dialysis. Abdom Imaging 30:361–368
Grobner T, Prischl FC (2007) Gadolinium and nephrogenic systemic fibrosis. Kidney Int 72:260–264
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Borzych, D., Ley, S., Schaefer, F. et al. Dialysate leakage into pericardium in an infant on long-term peritoneal dialysis. Pediatr Nephrol 23, 335–338 (2008). https://doi.org/10.1007/s00467-007-0615-y
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00467-007-0615-y