Video-assisted thoracic surgery for pleuroperitoneal communication

Shota Mitsuboshi, Hideyuki Maeda, Masato Kanzaki
2019 Surgical Case Reports  
Hydrothorax due to pleuroperitoneal communication (PPC) is a rare complication of continuous ambulatory peritoneal dialysis (CAPD). Approximately 50% of the patients need to convert to hemodialysis. A 65-year-old man with chronic renal failure due to membranoproliferative glomerulonephritis underwent CAPD. Seven months after starting CAPD, a chest X-ray showed a right hydrothorax. For performing radioscintigraphy, 99mTc-macro-aggregated albumin was administered into the peritoneal cavity with
more » ... alysate, and a leakage point of the dialysate into the right pleural cavity was detected. He was diagnosed with PPC and underwent video-assisted thoracic surgery (VATS). The hole was closed by direct suturing and reinforced by a pedicled latissimus dorsi muscle flap (LDM). The patient resumed CAPD 7 weeks later and had no recurrence of the right hydrothorax. VATS was a useful method for treating PPC. A pedicled LDM flap is an effective material for preventing the recurrence of PPC.
doi:10.1186/s40792-019-0595-8 pmid:30783792 pmcid:PMC6381193 fatcat:uletsnpqqnhlhfz73kfrkhpct4