Dialysate leakage into pericardium in an infant on long-term peritoneal dialysis

Pediatr Nephrol. 2008 Feb;23(2):335-8. doi: 10.1007/s00467-007-0615-y. Epub 2007 Oct 9.

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.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Dialysis Solutions / adverse effects*
  • Extravasation of Diagnostic and Therapeutic Materials / diagnosis*
  • Extravasation of Diagnostic and Therapeutic Materials / etiology
  • Fistula / etiology
  • Fistula / pathology
  • Humans
  • Kidney Transplantation
  • Magnetic Resonance Imaging
  • Male
  • Pericardial Effusion / chemically induced*
  • Pericardial Effusion / pathology
  • Pericardial Effusion / surgery
  • Pericardium / drug effects*
  • Pericardium / pathology
  • Peritoneal Cavity / pathology*
  • Peritoneal Dialysis / adverse effects*
  • Punctures / adverse effects

Substances

  • Dialysis Solutions