Authors: Chia Wei Teoh Helen Nadel Kathryn Armstrong Kevin C Harris Colin T White
Publish Date: 2015/09/19
Volume: 31, Issue: 1, Pages: 153-156
Abstract
Dialysate leakage into the pericardium is a rare but potentially lifethreatening complication of peritoneal dialysis PD There has been one reported pediatric case of spontaneous peritoneopericardial fistula in a 2yearold boy with tissue fragility due to malnutrition and two reported adult cases in PD patients with a history of previous cardiac surgery and/or pericardiocentesisWe describe a 15yearold girl with endstage renal disease secondary to granulomatosis with polyangiitis with recurrent pericardial effusions secondary to a peritoneopericardial fistula while on continuous cycling peritoneal dialysis CCPD She had previously presented with chylous pericardial effusion that required pericardiocentesis and subsequently developed recurrent pericardial effusions when she was commenced on CCPD 9 months later Pericardial fluid chemistry revealed a sterile serous fluid containing 151 mmol/L of glucose and 011 mmol/L of triglycerides Peritoneal scintigraphy with Tc99m labeled sulfur colloid injected intraperitoneally confirmed the presence of a peritoneopericardial fistula The pericardial effusions resolved upon switching the patient to hemodialysis HDThe Corresponding Author has the right to grant on behalf of all authors and does grant on behalf of all authors an exclusive license or nonexclusive for government employees on a worldwide basis to Pediatric Nephrology and coowners or contracting owning societies where published by Pediatric Nephrology on their behalf and its Licensees to permit this article if accepted to be published in Pediatric Nephrology
Keywords: