Peritoneopericardial communication after pericardiocentesis in a patient on continuous ambulatory peritoneal dialysis with dialysis pericarditis

Nephron. 1994;68(1):125-7. doi: 10.1159/000188230.


A male patient aged 41 years had dialysis pericarditis with massive pericardial effusion in his 6-year on continuous ambulatory peritoneal dialysis (CAPD). Intensive hemodialysis failed to resolve the pericardial effusion. Pericardiocentesis via a subxiphoid approach was performed with placement of a pigtail catheter for drainage. A communication between peritoneal and pericardial cavities occurred, resulting in the leakage of the peritoneal dialysate into pericardial sac which was confirmed by a 99mTc radionuclide scan. The fistula healed after removal of the catheter and discontinuation of CAPD. We suggest that pericardiocentesis via a subxiphoid approach for pericardial effusion should be cautiously exercised in CAPD cases for fear of peritoneopericardial fistula.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Fistula / etiology*
  • Humans
  • Male
  • Pericardial Effusion / etiology
  • Pericardial Effusion / surgery*
  • Pericarditis / etiology*
  • Pericarditis / therapy
  • Pericardium*
  • Peritoneal Dialysis, Continuous Ambulatory / adverse effects*
  • Peritoneum*
  • Punctures / adverse effects*