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Case report illustrates therapy protocols for hydrothorax in patients undergoing peritoneal dialysis, suggesting tailored management strategies.
Hydrothorax is a possible complication of peritoneal dialysis due to migration of dialysate from the peritoneal cavity to the thoracic cavity through a congenital or acquired diaphragmatic defect that allows its passage. Diagnosis is clinical, supported by peritoneal CT and pleural fluid analysis. Therapy is given in the first instance by discontinuation of the peritoneal method, but sometimes an attempt may be made to reinstate it with appropriate changes in the prescription. We report here our experience about a case of hydrothorax during peritoneal dialysis reporting the most recent protocols for proper management.
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Piscitani et al. (2025) studied this question.
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